Empowering Others - 360 Degree Feedback Survey Sample #12

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

• Recognizes and rewards employees who make important decisions and take action when necessary.
• Includes others in the decision making process.
• Gives employees the freedom to set their own schedule.
• Enables employees to take on more challenging roles.
• Allows subordinates to perform mission critical tasks.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Decision Making

• Makes decisions independently (without having to be told what or how).
• Examines relevant factors needed to make a decision.
• Is open to listening to others who may have different ideas.
• Effectively chooses appropriate courses of action.
• Uses reasonable assumptions and logic to decide between alternate courses of action

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Juggling Multiple Responsibilities

• Plans and organizes continuously while performing all other responsibilities and activities.
• Determines which tasks are critical and which tasks are optional.
• Is aware of the deadlines for specific tasks/assignments.
• Ranks the importance of tasks to make sure critical tasks are completed first.
• Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Organizational Fluency

• Able to use corporate politics to advance department objectives.
• Adept at navigating within the culture of the department.
• Anticipates problems that may affect the department.
• Is aware of other organizational cultures to compare/contrast with the current organizational culture.
• Able to deal with sensitive issues with tact and professionalism.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Cultural Awareness

• Is responsive to individuals from other cultures.
• Treats others with dignity and respect.
• Understands how implicit biases can affect decisions, communication and productivity.
• Effective in working with individuals with a variety of cultural backgrounds.
• Shows respect in daily interactions

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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