Initiative - 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.

Initiative

• Looks for opportunities to move projects forward.
• Takes the initiative to complete tasks ahead of schedule.
• Seizes upon opportunities available.
• Takes corrective action to rectify issues.
• Encourages others on the team to suggest process improvements.

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

Strategic Insight

• Implements long-term solutions to problems.
• Analyzes unique issues or problems impacting the Company.
• Identifies root causes of problems.
• Works with others to develop insights into the resources and actions required to produce desired results.
• Adjusts strategic plans based on insights gathered from different points of view.

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

Continual Learning

• Takes charge of their training and skills enhancement.
• Takes the initiative to learn new skills.
• Pursues professional development opportunities when they arise.
• Is open to new ideas and concepts.
• Improves on their skill sets.

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

Project Management

• Implements risk mitigation strategies to help move the project to successful completion.
• Identifies potential risks that could pose challenges to the project timeline.
• Communicates with the necessary stakeholders if the budget targets are missed.
• Determines the project strategy for implementation.
• Has detailed knowledge about the project and can adapt the project plan as needed.

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

Global Perspective

• Demonstrates a curiosity about diverse individuals and cultures.
• Creates an environment where individual differences are valued and supported.
• Works well with others from different cultural backgrounds.
• Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
• Can effectively deliver presentations to international clients.

If [Participant Name] were to make improvements in Global Perspective, 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.