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.

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Initiative

What does Initiative mean?
It means that ...

• I take corrective action to rectify issues.
• I initiate projects that have an impact on the department.
• You act with urgency when time is limited.
• You are an inspiration for others to perform above expectations.
• I take action to implement new changes in the policies and procedures.

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 ...

• I am adept at recognizing new opportunities and fostering a culture of innovation ensuring the organization stays ahead of industry trends and continues to evolve.
• I understand cash flow procedures and statements.
• You understand the financial metrics used by the company.
• I gather essential customer data to align our products with their expectations.
• You assist others in understanding business changes.

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

What does Commitment mean?
It means that ...

• I build a culture where employees willingly contribute their skills to organizational success.
• You champion organizational priorities by modeling commitment and accountability.
• You are able to focus on a task even when working alone.
• You champion collective wins, inspiring pride in shared accomplishments that deepen commitment to future endeavors.
• You elevate accountability from obligation to ownership, ensuring employees commit because they believe in the value of their role.

To what extent does this person exhibit Commitment?
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 validate the accuracy of data collected.
• I take the necessary steps to maintain precision when collecting and measuring data.
• You utilize data and logical reasoning to address and challenge personal biases in decision-making.
• I review contractual documents for clauses and specifications to ensure binding agreements are free from disputes.
• You determine if sources of information are reputable, reliable, and credible.

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 chart a bold course for the department's rapid evolution and expansion.
• You detect problems and create solutions.
• You can establish an inspiring and strategic vision for the department.
• I define a roadmap for realizing the organization's vision.
• You create a positive vision of the future for the Company.

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.