Juggling Multiple Responsibilities - 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.

Juggling Multiple Responsibilities

• Assigns tasks based on skills of team members.
• Switches attention to more urgent tasks when necessary.
• Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
• Keeps track of multiple assignments and deadlines.
• Builds in extra time in the schedule for unplanned events/occurrences.

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

Punctuality

• Arrives to meetings on time.
• Maintains an efficient schedule of activities.
• Conducts appointments at scheduled start time.
• Responds to requests for information in a timely manner.
• Invoices clients on a timely basis.

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

Continual Learning

• Views setbacks as opportunities to learn from.
• Pursues professional development opportunities when they arise.
• Builds on their strengths while addressing their weaknesses.
• Improves on their skill sets.
• Pursues learning that will enhance job performance.

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

Trustworthy

• Demonstrates congruence between statements and actions.
• Is a person you can trust.
• Communicates an understanding of the other person's interests, needs and concerns.
• Consistently keeps commitments.
• Demonstrates a sense of responsibility and commitment to public trust.

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

Others

• Helpful
• Treats others with respect and dignity.
• Includes others in the decision making processes.
• Is able to see issues from others' perspectives.
• Forms working relationships with employees from other departments.

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