Empowering Others - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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

• Sets goals to allow the employee to have more autonomy over their work.
• Trusts employees with important responsibilities.
• Gives employees autonomy to complete tasks on their own.
• Provides opportunities for employee development and growth.
• Encourages employees to expand their skills in order to take on greater responsibilities.

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

Comments:

Decision Making

• Is open to listening to others who may have different ideas.
• Gathers information before making a decision.
• Is confident in the decisions they make.
• Learns from previous bad decisions and rarely repeats them.
• Effectively chooses appropriate courses of action.

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

Comments:

Juggling Multiple Responsibilities

• Keeps track of multiple assignments and deadlines.
• Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
• Ensures that assignments are prioritized according to the needs of the department/company.
• Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
• Organizes tasks for the most efficient order of completion.

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

Comments:

Organizational Fluency

• Effective in communicating with others within the organization.
• Adept at navigating within the culture of the department.
• Is aware of other organizational cultures to compare/contrast with the current organizational culture.
• Understands 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

• Treats others with dignity and respect.
• Helps other employees to become more culturally sensitive.
• Develops skills and attitudes to bridge cultural differences.
• Shows respect in daily interactions
• Is sensitive to the similarities and differences that exist between cultures.

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.