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

• Encourages employees to think outside the box.
• Gives employees input into the decision making process.
• Encourages independent, original thinking and creative problem-solving.
• Provides opportunities for employee development and growth.
• Coordinates the knowledge, skills and resources of others to accomplish more in the department.

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).
• Applies creative reasoning in making decisions.
• Outlines the parameters influencing the decision making process.
• Makes good decisions for the department.
• Does not lose sight of the big picture when making decisions

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

Comments:

Juggling Multiple Responsibilities

• Organizes tasks for the most efficient order of completion.
• Prioritizes tasks for efficiency.
• Builds in extra time in the schedule for unplanned events/occurrences.
• Is aware of the deadlines for specific tasks/assignments.
• Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.

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.
• Understands the current organizational culture.
• Able to explain departmental policies and procedures to others.
• Able to use corporate politics to advance department objectives.
• Adept at navigating within the culture of the department.

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

Comments:

Cultural Awareness

• Encourages a work environment where individual differences are valued.
• Is curious and willing to ask questions about the cultural differences in the workplace.
• Participates in cultural training sessions/classes.
• Values the opinions of diverse groups and individual.
• Effective in working with individuals with a variety of cultural backgrounds.

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.