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

• Ensures employees understand what is being assigned to them.
• Encourages others to obtain necessary skills and training.
• Allows employees to make their own decisions.
• Lets employees make their own decisions.
• Willing to share in the decision making process.

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

Comments:

Decision Making

• Receptive to new ideas from others when making decisions.
• Understands how their decisions will affect others.
• Willing to consider information from other sources.
• Willing to change their strategy if new information arises.
• Is confident in the decisions they make.

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

Comments:

Juggling Multiple Responsibilities

• Ensures that assignments are prioritized according to the needs of the department/company.
• Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
• Completes multiple tasks simultaneously.
• Assigns tasks based on skills of team members.
• 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

• Adept at navigating within the culture of the department.
• Is aware of other organizational cultures to compare/contrast with the current organizational culture.
• Able to explain departmental policies and procedures to others.
• Anticipates problems that may affect the department.
• Effective in communicating with others within the organization.

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

Comments:

Cultural Awareness

• Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
• Actively listens to other employees' stories about their culture.
• Functions effectively within various cultural contexts.
• Aware of their own cultural views.
• Seeks out different viewpoints and benefits from different perspectives.

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.