Empowering Others - 360 Degree Feedback Survey Sample #11

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

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Empowering Others

What does Empowering Others mean?
It means that ...

• You enable team members to make their own decisions on the project.
• You give employees input into the decision making process.
• You provide opportunities for employee development and growth.
• You set clear goals for assignments.
• I acknowledge and appreciate employees for their proactive decision-making.

To what extent does this person exhibit Empowering Others?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Supervisory Skills

What does Supervisory Skills mean?
It means that ...

• I convey instructions, directives and guidelines to the employees.
• I consider diverse perspectives during the disciplinary process.
• I allow employees to make their own decisions.
• I oversee the work of a group of employees.
• You are able to motivate others through persuasion rather than coercion.

To what extent does this person exhibit Supervisory Skills?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Results Oriented

What does Results Oriented mean?
It means that ...

• You set important goals for the department.
• I complete all required coursework.
• I measure progress toward the goal.
• You provide clear expectations for employees.
• I overcome obstacles to continue working toward goals.

To what extent does this person exhibit Results Oriented?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Business Acumen

What does Business Acumen mean?
It means that ...

• You anticipate the consequences to the business of different potential risk events.
• You create unique strategies that impact the Company.
• You create a risk management strategy to meet the business needs of the organization.
• I conduct thorough market research to understand industry trends, customer needs, and competitive landscapes.
• You foster a critical analysis of events and issues.

To what extent does this person exhibit Business Acumen?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Integrity

What does Integrity mean?
It means that ...

• You establish relationships of trust, honesty, fairness, and integrity.
• You follow tasks to completion.
• You accept responsibility for mistakes.
• You demonstrate honesty and truthfulness at all times.
• You foster a high standard of ethics and integrity.

To what extent does this person exhibit Integrity?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.