Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #11





360 Feedback Survey

Surveys measuring the ability to handle 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)
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.

Competencies Included:
Juggling Multiple Responsibilities, Initiative, Excellence, Teamwork, Supervisory Skills
Sample Result Document:
Sample Results
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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


Juggling Multiple Responsibilities

What does Juggling Multiple Responsibilities mean?
It means that ...
  • You recognize and respond to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
  • You can multitask while performing all of your other responsibilities and activities.
  • You assign tasks based on skills of team members.
  • You organize tasks for the most efficient order of completion.
  • You begin tasks as soon as possible.

To what extent does this person exhibit Juggling Multiple Responsibilities?
Select from one of the ratings below.

Initiative

What does Initiative mean?
It means that ...
  • I take charge when there is a crisis.
  • You take action without being asked.
  • You seek and utilize opportunities for continuous learning and self-development.
  • You go above and beyond the stated goals.
  • You are a self-starter. You do not wait to be told to do something.

To what extent does this person exhibit Initiative?
Select from one of the ratings below.

Excellence

What does Excellence mean?
It means that ...
  • You can be counted on to add value wherever you are involved.
  • You produce high quality work.
  • You keep yourself and others focused on constant improvement.
  • You demonstrate the analytical skills to do your job.
  • You take a lot of pride in your work.

To what extent does this person exhibit Excellence?
Select from one of the ratings below.

Teamwork

What does Teamwork mean?
It means that ...
  • You encourage teamwork and collaboration.
  • You coach team on how to solve problems, plan, and meet organizational goals and objectives.
  • I listen and am attentive to other team members.
  • I work with other team members on the project.
  • You seek and listen to other's contributions

To what extent does this person exhibit Teamwork?
Select from one of the ratings below.

Supervisory Skills

What does Supervisory Skills mean?
It means that ...
  • I introduce targeted training and development initiatives to address and elevate subpar performance.
  • You ensure employees know what they need to complete during the shift.
  • I measure job performance fairly using established criteria.
  • I give feedback that includes both a recognition of the employee's strengths and areas where the employee could do better.
  • I am clear when assigning tasks to be completed.

To what extent does this person exhibit Supervisory Skills?
Select from one of the ratings below.
Strengths


Areas for Development


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