Juggling Multiple Responsibilities - 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.

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Juggling Multiple Responsibilities	Definite Strength	Meets Standards	Needs Development	N/A
Uses a scheduler/planner to keep tasks organized and on time.
Is aware of the deadlines for specific tasks/assignments.
Prioritizes tasks for efficiency.
Spends the most time and effort on critical tasks first.
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
Accepts responsibility to lead efforts to solving critical problems.
Exhibits a sense of ownership of the process.
Can be counted on to do their role well.
Requires employees to submit monthly reports of the work they performed.
Exhibits good governance in their role as an executive.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Demonstrates sincerity in actions with others.
Fosters a high standard of ethics and integrity.
Develops trust and confidence from others.
Follows tasks to completion.
Fosters an environment built upon trust.
Cultural Awareness	Definite Strength	Meets Standards	Needs Development	N/A
Aware of their own cultural views.
May advocate for others with different cultural backgrounds.
Is willing to include individuals with different cultural backgrounds on the team.
Treats others with dignity and respect.
Willing to work with employees who have different cultural backgrounds.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
Documents the risk assessments for different parts of the project.
Creates a risk management plan and periodically updates it as the project moves forward.
Develops action items, workplans, timelines, and criteria for projects.
Creates the metrics used to measure progress on the project.
Correctly estimates the cost of supplies for the project.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Tells subordinates what to do, not how to do it.
Sets clear and reasonable expectations for others and follows through on their progress.
Clearly defines duties and tasks to be completed.
Allows employees to decide how they wish to complete the tasks.
Allows subordinates to use their own methods and procedures.
Change Management	Definite Strength	Meets Standards	Needs Development	N/A
Able to get department employees to accept new changes.
Addresses organizational and departmental resistance to changes.
Adopts changes to set and example for others to follow.
Effective in implementing new organizational vision and values.
Develops a strategy for implementing changes.
Commitment To Result	Definite Strength	Meets Standards	Needs Development	N/A
Takes immediate action toward goals.
Committed to the team.
Maintains persistence and dedication to achieving results.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Develops a strong safety culture.
Performs work safely.
Mitigates hazards and safety issues that arise.
Keeps accurate safety records.
Is not afraid to question a potential safety issue observed in the workplace.
Regulatory/Compliance	Definite Strength	Meets Standards	Needs Development	N/A
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Maintains compliance with federal, state, and local laws.
Offers training to employees to ensure they are complying with regulations.
Knows who to contact at various regulatory agencies if needed.
Understands the applicable regulations and laws that impact our business.
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
Encourages others to obtain necessary skills and training.
Encourages employees to take on greater responsibilities.
Allows the employees to have flexible work schedules.
Ensures employees understand what is being assigned to them.
Allows employees the opportunity to take time off when needed.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Is flexible in responses.
Able to adapt to changing situations.
Researches the needs of the other party to identify strengths and weaknesses of positions.
Able to say "no" when it is essential to maintaining quality and high standards.
Maintains communication channels between parties in the negotiation.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Leads employees in new directions.
Creates a common vision for others.
Behaves in a way that is consistent with business values & code of conduct
Communicates the vision and strategy of [Company]
Communicates a vision of where the Company needs to be in the future.

66. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
67. Strengths
    
    
    
68. Areas for Development
    
    
    
69. Please give any final comments or suggestions for [Participant Name Here]'s assessment.