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

• Spends the most time and effort on critical tasks first.
• Begins tasks as soon as possible.
• Assigns tasks based on skills of team members.
• Prioritizes tasks for efficiency.
• 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

• Avoids making personal phone calls during working hours.
• Conducts appointments at scheduled start time.
• Invoices clients on a timely basis.
• Starts the workday when scheduled.
• Maintains an efficient schedule of activities.

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

Continual Learning

• Grasps new ideas, concepts, technical, or business knowledge.
• Builds on their strengths while addressing their weaknesses.
• Shares best practices with others and learns from others.
• Is open to new ideas and concepts.
• Seeks opportunities to grow in skills and knowledge.

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

Trustworthy

• Consistently keeps commitments.
• Demonstrates a sense of responsibility and commitment to public trust.
• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
• Is a person you can trust.
• Demonstrates congruence between statements and actions.

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

Others

• Forms working relationships with employees from other departments.
• Treats others with respect and dignity.
• Includes others in the decision making processes.
• Respects the opinions of other employees.
• Consistently demonstrates ability and willingness to trust others.

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.