Feedback - 360 Degree Feedback Survey Sample #10

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.

Feedback

• Accepts the views of others.
• Actively seeks feedback from others.
• Is visible and approachable.
• Shares past experiences with others as learning opportunities.
• Is easy to approach with ideas and opinions.

If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?

Problem Solving

• Is a good problem solver and decision maker
• Able to balance the needs of different people in a solution to a problem.
• Generates alternative solutions to problems and challenges.
• Finds creative ways to get things done with limited resources.
• Implements effective solutions to critical problems.

If [Participant Name] were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?

Juggling Multiple Responsibilities

• Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
• Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
• Coordinates the work of a team by assigning tasks to other team members.
• Ranks the importance of tasks to make sure critical tasks are completed first.
• Ensures that assignments are prioritized according to the needs of the department/company.

If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Integrity

• Follows tasks to completion.
• Establishes relationships of trust, honesty, fairness, and integrity.
• Fosters an environment built upon trust.
• Does what was promised.
• Fosters a high standard of ethics and integrity.

If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?

Negotiation

• Influences others through rational argument and persuasion.
• Maintains communication channels between parties in the negotiation.
• Leverages relationships with others to achieve goals.
• Researches the needs of the other party to identify strengths and weaknesses of positions.
• Actively listens to conversations to be able to recall important details later.

If [Participant Name] were to make improvements in Negotiation, what are your suggestions for how he/she can improve this?

Overall, please rate the effectiveness of [Participant Name Here].

5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

Strengths


Areas for Development


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