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.

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.

Juggling Multiple Responsibilities	Definite Strength	Meets Standards	Needs Development	N/A
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Completes multiple tasks simultaneously.
Ensures that assignments are prioritized according to the needs of the department/company.
Begins tasks as soon as possible.
Organizes tasks for the most efficient order of completion.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
Informs supervisor of progress without having to be asked about it.
Follows through on commitments made.
Takes responsibility for errors and actively works to correct them.
Accepts the consequences for their actions.
Holds employees responsible if expectations are not met.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Accepts responsibility for mistakes.
Establishes relationships of trust, honesty, fairness, and integrity.
Protects the integrity and confidentiality of information
Does what was promised.
Follows tasks to completion.
Cultural Awareness	Definite Strength	Meets Standards	Needs Development	N/A
Views diversity as a strength, not as an issue.
Shows respect in daily interactions
Seeks knowledge and information about other cultures.
Is aware of cultural differences in business etiquette.
May advocate for others with different cultural backgrounds.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
Identifies risks to each phase of the project.
Establishes the scope for the project.
Acquires and allocates internal and external resources needed for the project.
Manages various facets of the project to keep it on track with the delivery date.
Inspires others to accomplish goals and objectives.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Clearly defines duties and tasks to be completed.
Assigns tasks to create learning opportunities for the employees.
Allows subordinates to use their own methods and procedures.
Defines goals and objectives for subordinates.
Entrusts subordinates with important tasks.
Change Management	Definite Strength	Meets Standards	Needs Development	N/A
Develops a strategy for implementing changes.
Is an inspiration for others to accept the recent changes.
Works cooperatively with others to implement changes.
Addresses organizational and departmental resistance to changes.
Able to get department employees to accept new changes.
Commitment To Result	Definite Strength	Meets Standards	Needs Development	N/A
Committed to the team.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Maintains persistence and dedication to achieving results.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Takes immediate action toward goals.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Develops safety guidelines for the department.
Mitigates hazards and safety issues that arise.
Is not afraid to question a potential safety issue observed in the workplace.
Supports our company's safety programs.
Works to implement corrective safety measures.
Regulatory/Compliance	Definite Strength	Meets Standards	Needs Development	N/A
Effectively communicates the importance of meeting compliance standards.
Strengthens employees' ability to appropriately handle compliance and ethics issues.
Reviews anti-retaliation policies to ensure compliance with government standards.
Provides direction and oversight for the compliance department.
Trains and coordinates activies of compliance officers.
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
Gives employees input into the decision making process.
Encourages employees to think outside the box.
Creates a culture where employees are recognized and rewarded for taking the initiative and making impactful choices.
Empowers employees to structure their work hours to maximize their productivity.
Allows subordinates to perform mission critical tasks.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Able to influence others to accept certain positions.
Is resolute in positions to build trust and predictability.
Is aware of potential emotional triggers that could negatively impact the negotiations.
Able to manage and resolve conflicts constructively.
Is aware of and manages own emotions and understands the emotions of others which helps in navigating tense situations and in finding common ground.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Pinpoints specific challenges that the company faces and meticulously crafts tailored solutions to overcome these obstacles.
Is a positive influence on employees, encouraging them to take the initiative and be proactive in their roles.
Ensures that work is systematically aligned and coordinated with the organization's vision.
Articulates a vision for the department that is aligned with the division/company's vision.
Charts a bold course for the department's rapid evolution and expansion.

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.