Initiative - 360 Degree Feedback Survey Sample #9

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.

Initiative	Definite Strength	Meets Standards	Needs Development	N/A
Capitalizes on opportunities as they become available.
Takes charge when there is a crisis.
Takes the initiative to solve pressing issues.
Immediately informs the HR Department of any personnel complaints or issues.
Informs the manager of any important changes in the equipment operation.
Change Management	Definite Strength	Meets Standards	Needs Development	N/A
Effective in dealing with ambiguous and challenging situations.
Assists others in understanding changes to the organization.
Supports new initiatives for organizational changes to improve effectiveness.
Is an inspiration for others to accept the recent changes.
Facilitates change with minimal resistance.
Commitment To Result	Definite Strength	Meets Standards	Needs Development	N/A
Able to focus on a task even when working alone.
Encourages commitment in others to obtain results.
Coordinates all department activities into a cohesive team effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Committed to the team.
Self Management	Definite Strength	Meets Standards	Needs Development	N/A
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Consciously controls own negative emotions in order to keep team morale up.
Uses patience and self-control in working with customers and associates.
Continual Learning	Definite Strength	Meets Standards	Needs Development	N/A
Participates in regular training offered.
Is open to new ideas and concepts.
Sets relevant learning objectives and goals.
Shares best practices with others and learns from others.
Builds on their strengths while addressing their weaknesses.
Establishing Focus/Direction	Definite Strength	Meets Standards	Needs Development	N/A
Helps guide employees with prioritizing tasks.
Functions well under stress, deadlines, and/or significant workloads.
Maintains focus when handling several problems or tasks simultaneously.
Makes sure that employees understand and identify with the team's mission.
Maintains self-control when personally criticized.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
Establishes communication protocols for messaging team members and stakeholders.
Uses appropriate software tools to assist in managing the project.
Schedules project phases and tasks to facilitate successful completion of the project.
Anticipates potential problems and institutes controls and contingency plans to address them.
Communicates with all employees involved on the project.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Tells subordinates what to do, not how to do it.
Assigns tasks to create learning opportunities for the employees.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Clearly defines duties and tasks to be completed.
Defines goals and objectives for subordinates.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Develops a strong safety culture.
Seeks to reduce the likelihood of accidents.
Is aware of OSHA safety guidelines.
Ensures that all supervisors are aware of regulatory and compliance measures.
Performs work safely.
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
Values the opinions of others.
Creates a culture where employees are given the opportunity to take the initiative and make impactful decisions.
Recognizes and rewards employees who make important decisions and take action when necessary.
Establishes goals that allow employees top operate independently in the field.
Acknowledges and appreciates employees for their proactive decision-making.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Knows where to stand firm and where to compromise.
Keeps a firm grasp on the issues and priorities.
Able to say "no" when it is essential to maintaining quality and high standards.
Persuades the other party of the benefits of our proposals.
Bases arguments on objective standards or criteria, such as market value, legal standards, or expert opinions.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Skilled in developing and realizing a comprehensive organizational vision.
Able to see trends in the business environment.
Works to support the strategy of [Company]
Designs a forward-thinking strategy to achieve the department's growth goals.
Entrusts team members with executing the vision.

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

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

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for [Participant Name Here]'s assessment.