Feedback - 360 Degree Feedback Survey Sample #10





360 Feedback Survey

Questionnaires Measuring Feedback:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Sample Result Document:
Sample Results

Feedback

  • Shares past experiences with others as learning opportunities.
  • Actively seeks feedback from others.
  • Is easy to approach with ideas and opinions.
  • Accepts the views of others.
  • Considers other's opinion and suggestions.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?

Problem Solving

  • Actively seeks the root cause of a problem.
  • Makes judgments based upon relevant information.
  • Solves problems using logic and insight.
  • Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
  • 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

  • Prioritizes tasks for efficiency.
  • Begins tasks as soon as possible.
  • Ranks the importance of tasks to make sure critical tasks are completed first.
  • Uses a scheduler/planner to keep tasks organized and on time.
  • Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Integrity

  • Does what was promised.
  • Accepts responsibility for mistakes.
  • Fosters an environment built upon trust.
  • Demonstrates sincerity in actions with others.
  • Protects the integrity and confidentiality of information
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?

Negotiation

  • Is resolute when stating priorities and non-negotiables.
  • Stays focused and avoids getting sidetracked by less important issues.
  • Maintains communication channels between parties in the negotiation.
  • A proficient conflict resolver who effectively navigates workplace disputes to maintain a harmonious and productive environment.
  • Is flexible in responses.
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].






Strengths


Areas for Development


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