Initiative - 360 Degree Feedback Survey Sample #11

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.

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Edit this Survey

Would you like to edit this survey? Click here to begin.

Initiative

What does Initiative mean?
It means that ...

• I take on additional tasks without being asked or told to do so.
• I seize upon chances to improve the department's prospects.
• You immediately work to complete goals well before your deadline.
• I take the initiative to solve pressing issues.
• You initiate draft documents for the director.

To what extent does this person exhibit Initiative?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Business Acumen

What does Business Acumen mean?
It means that ...

• You view problems from a business perspective, opportunity, investment, risks, and anticipated results
• You meet with customers to gain insight into their core needs and how best to strategically serve them.
• You are able to align resources to meet the business needs of the company.
• I recognize the potential business impact of specific risks.
• You understand the critical business needs of the customer.

To what extent does this person exhibit Business Acumen?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Commitment To Result

What does Commitment To Result mean?
It means that ...

• You take immediate action toward goals.
• You encourage commitment in others to obtain results.
• You coordinate all department activities into a cohesive team effort.
• You create a sense of urgency among the store team members to complete activities, which drive sales.
• You maintain persistence and dedication to achieving results.

To what extent does this person exhibit Commitment To Result?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Analytical

What does Analytical mean?
It means that ...

• You select the appropriate techniques for analysis.
• I evaluate evidence objectively, regardless of whether it supports or contradicts current ideas.
• I identify potential problem areas.
• I collect relevant data and facts about a situation.
• You identify patterns in conflicting information, events, or data.

To what extent does this person exhibit Analytical?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Vision

What does Vision mean?
It means that ...

• You understand the vision of the Company and promote it ahead of any self-interests.
• I provide vision and strategies to the team.
• I recognize issues and formulate solutions.
• You model a strategic vision based on insights gained from in depth investigations into the performance of the company.
• I concentrate employees' tasks on essential parts of the vision.

To what extent does this person exhibit Vision?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.