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Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #10





360 Feedback Survey

Surveys Measuring Juggling Multiple Responsibilities:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Sample Result Document:
Sample Results
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Juggling Multiple Responsibilities

  • Builds in extra time in the schedule for unplanned events/occurrences.
  • Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
  • Is aware of the deadlines for specific tasks/assignments.
  • Spends the most time and effort on critical tasks first.
  • Assigns tasks based on skills of team members.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Punctuality

  • Starts meetings on time.
  • Starts the workday when scheduled.
  • Responds to requests for information in a timely manner.
  • Arrives to meetings on time.
  • 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

  • Builds on their strengths while addressing their weaknesses.
  • Sets relevant learning objectives and goals.
  • Views setbacks as opportunities to learn from.
  • Pursues professional development opportunities when they arise.
  • Pursues self-improvement through continual learning.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?

Trustworthy

  • Builds and maintains the trust of others.
  • Is a person you can trust.
  • Communicates an understanding of the other person's interests, needs and concerns.
  • Is trustworthy; is someone I 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

  • Supports the efforts of other employees in implementing solutions to problems.
  • Works across boundaries within the organization.
  • Consistently demonstrates ability and willingness to trust others.
  • Forms working relationships with employees from other departments.
  • Treats others with respect and dignity.
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].






Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.