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.

Empowering Others

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

• You allow employees to make their own decisions.
• I value the expertise that others bring to the team.
• I delegate authority to employees and allow them to make their own decisions.
• You give employees input into the decision making process.
• I give employees opportunities to demonstrate their skills.

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 am clear about the expectations that employees will be held accountable for.
• You facilitate team members working well together.
• I foster a culture of personal responsibility and accountability.
• I instruct employees on the safest way to perform tasks.
• I use metrics and benchmarks established by the department.

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 explain the "whys" behind organizational objectives
• You are highly motivated to complete tasks despite obstacles that may arise.
• You inspire and motivates co-workers to be productive and energetic at work
• I views obstacles as opportunities to improve myself.
• You encourage a high-energy, fun work environment and coaches others on how to do the same

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 create unique strategies that impact the Company.
• You create strategic plans that conform with regulations and industry guidelines.
• I facilitate business change with minimal resistance.
• You understand complex issues and problems.
• You apply the knowledge of work processes to influence the achievement of business goals

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 foster an environment built upon trust.
• You demonstrate sincerity in actions with others.
• You establish relationships of trust, honesty, fairness, and integrity.
• You accept responsibility for mistakes.
• 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.