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
Is a self-starter. Does not wait to be told to do something.
Goes above and beyond the stated goals.
Anticipates problems and initiates plans to address them.
Encourages others on the team to suggest process improvements.
Creates solutions to problems as soon as an incident occurs.
Change Management	Definite Strength	Meets Standards	Needs Development	N/A
Able to get department employees to accept new changes.
Develops plans for following through on the changes.
Facilitates change with minimal resistance.
Inspires others to want to change.
Works cooperatively with others to implement changes.
Commitment To Result	Definite Strength	Meets Standards	Needs Development	N/A
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Coordinates all department activities into a cohesive team effort.
Maintains persistence and dedication to achieving results.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Takes immediate action toward goals.
Self Management	Definite Strength	Meets Standards	Needs Development	N/A
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.
Steps away from a situation to process appropriate response.
Analyzes interpersonal problems instead of reacting to them.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Continual Learning	Definite Strength	Meets Standards	Needs Development	N/A
Sets relevant learning objectives and goals.
Is open to new ideas and concepts.
Views setbacks as opportunities to learn from.
Improves on their skill sets.
Pursues self-improvement through continual learning.
Establishing Focus/Direction	Definite Strength	Meets Standards	Needs Development	N/A
Helps guide employees with prioritizing tasks.
Sets appropriate goals for employees.
Maintains focus when handling several problems or tasks simultaneously.
Makes sure that employees understand and identify with the team's mission.
Functions well under stress, deadlines, and/or significant workloads.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
Develops action items, workplans, timelines, and criteria for projects.
Develops performance measures for various aspects of the project.
Able to adjust project schedule as needed to accommodate unforeseen issues.
Responds quickly and appropriately to unforeseen problems.
Anticipates potential problems and institutes controls and contingency plans to address them.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Allows employees to decide how they wish to complete the tasks.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Clearly defines duties and tasks to be completed.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Sets clear and reasonable expectations for others and follows through on their progress.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Is not afraid to question a potential safety issue observed in the workplace.
Encourages others to attend safety training.
Encourages others to work safely.
Ensures that all supervisors are aware of regulatory and compliance measures.
Performs work safely.
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
Avoids micromanaging their employees.
Is confident in the abilities of employees assigned important tasks.
Allows individuals to be responsible for their decisions.
Supports the decisions of others.
Distributes the workload to subordinates.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Identifies verbal and nonverbal cues to help interpret actions and messages.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
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.
Stays calm and focuses on the core issues to be discussed.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Communicates the vision and strategy of [Company]
Expresses the Company vision in a way that is easily understood and adopted by employees.
Creates a positive vision of the future for the Company.
Demonstrates consistency between words and actions
Communicates a vision of where the Company needs to be in the future.

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.