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

• Seeks feedback to enhance performance.
• Accepts the views of others.
• Open to the suggestions of others.
• Looks to others for input.
• Shares past experiences with others as learning opportunities.

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

Problem Solving

• Understands the root causes of problems.
• Ability to develop innovative solutions to problems.
• Able to balance the needs of different people in a solution to a problem.
• Ability to solve problems at root cause rather than at symptom level.
• Generates alternative solutions to problems and challenges.

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

Juggling Multiple Responsibilities

• Organizes tasks for the most efficient order of completion.
• Ranks the importance of tasks to make sure critical tasks are completed first.
• Completes multiple tasks simultaneously.
• 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

• Accepts responsibility for mistakes.
• Demonstrates honesty and truthfulness at all times.
• Develops trust and confidence from others.
• Establishes relationships of trust, honesty, fairness, and integrity.
• Does what was promised.

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

Negotiation

• Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
• Changes communication styles to meet the listener's needs.
• Able to adapt to changing situations.
• Maintains communication channels between parties in the negotiation.
• Establishes clear communications to avoid misunderstandings.

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.