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

• Determines which tasks are critical and which tasks are optional.
• Keeps track of multiple assignments and deadlines.
• Builds in extra time in the schedule for unplanned events/occurrences.
• Coordinates the work of a team by assigning tasks to other team members.
• Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.

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

Punctuality

• Invoices clients on a timely basis.
• Conducts appointments at scheduled start time.
• Starts the workday when scheduled.
• Avoids making personal phone calls during working hours.
• Arrives to meetings on time.

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

Continual Learning

• Takes the initiative to learn new skills.
• Sets relevant learning objectives and goals.
• Shares best practices with others and learns from others.
• Views setbacks as opportunities to learn from.
• Takes charge of their training and skills enhancement.

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

Trustworthy

• Takes ownership, delivers on commitments
• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
• Delivers on promises made.
• Demonstrates a sense of responsibility and commitment to public trust.
• Is a person you can trust.

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.
• Includes others in the decision making processes.
• Forms working relationships with employees from other departments.
• Helpful
• 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.