Initiative - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

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.

Initiative	Definite Strength	Meets Standards	Needs Development	N/A
Able to initiate work on projects independently without direct supervision.
Is an inspiration for others to perform above expectations.
Guides strategic initiatives to advance the department/organization.
Actively works on resolving the issue instead of procrastinating or hoping it will resolve itself.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Change Management	Definite Strength	Meets Standards	Needs Development	N/A
Assists others in understanding changes to the organization.
Effective in implementing new organizational vision and values.
Is a leading force driving changes.
Develops plans for following through on the changes.
Able to get team members to change their attitudes.
Commitment To Result	Definite Strength	Meets Standards	Needs Development	N/A
Encourages commitment in others to obtain results.
Maintains persistence and dedication to achieving results.
Able to focus on a task even when working alone.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Takes immediate action toward goals.
Self Management	Definite Strength	Meets Standards	Needs Development	N/A
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Steps away from a situation to process appropriate response.
Analyzes interpersonal problems instead of reacting to them.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Uses patience and self-control in working with customers and associates.
Continual Learning	Definite Strength	Meets Standards	Needs Development	N/A
Seeks opportunities to grow in skills and knowledge.
Pursues self-improvement through continual learning.
Sets relevant learning objectives and goals.
Pursues learning that will enhance job performance.
Is open to new ideas and concepts.
Establishing Focus/Direction	Definite Strength	Meets Standards	Needs Development	N/A
Maintains self-control when personally criticized.
Helps guide employees with prioritizing tasks.
Makes sure that employees understand and identify with the team's mission.
Maintains focus when handling several problems or tasks simultaneously.
Stays focused even when under pressure and stress.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
Identifies the source materials that will be needed.
Locates the financial resources to budget for the project.
Locates the equipment and supplies needed for the project.
Has detailed knowledge about the project and can adapt the project plan as needed.
Develops a plan for resource management.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Assigns tasks to create learning opportunities for the employees.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Tells subordinates what to do, not how to do it.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Performs work safely.
Develops a strong safety culture.
Ensures that all supervisors are aware of regulatory and compliance measures.
Participates in safety training when available.
Mitigates hazards and safety issues that arise.
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
Expresses confidence in the abilities of others.
Supports the decisions of others.
Supports the decisions of others even if those decisions may sometimes lead to mistakes.
Allows employees to take ownership of their work.
Allows the team to take responsibility for the project.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Able to manage and resolve conflicts constructively.
Justifies viewpoints using strong and credible data.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Conducts necessary preparations before engaging in negotiations.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Delegates the task of implementing the vision to subordinates.
Designs strategies that mirror the organization's unified vision.
Creates a common vision for others.
Engages with key stakeholders to gather insights and ensure alignment with the organization's mission and vision.
Creates a vision that adds value to the organization.

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.