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

• Open to the suggestions of others.
• Is visible and approachable.
• Looks to others for input.
• Actively seeks feedback from others.
• Seeks feedback to enhance performance.

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

Problem Solving

• Ability to solve problems at root cause rather than at symptom level.
• Makes judgments based upon relevant information.
• Effective in solving problems.
• Generates alternative solutions to problems and challenges.
• Actively seeks the root cause of a problem.

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

Juggling Multiple Responsibilities

• Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
• Plans and organizes continuously while performing all other responsibilities and activities.
• Is aware of the deadlines for specific tasks/assignments.
• Organizes tasks for the most efficient order of completion.
• Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.

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

Integrity

• Maintains strong relationships with others.
• Protects the integrity and confidentiality of information
• Fosters a high standard of ethics and integrity.
• Accepts responsibility for mistakes.
• Develops trust and confidence from others.

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

Negotiation

• Keeps a firm grasp on the issues and priorities.
• Maximizes information gathering efforts prior to negotiations.
• Ensures a thorough understanding of key issues and priorities.
• Aims for solutions that benefit both parties.
• Understands the current situation of both parties.

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.