Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #12

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.

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

• Organizes tasks for the most efficient order of completion.
• Is aware of the deadlines for specific tasks/assignments.
• Determines which tasks are critical and which tasks are optional.
• Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
• Begins tasks as soon as possible.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Continual Learning

• Views setbacks as opportunities to learn from.
• Sets relevant learning objectives and goals.
• Pursues self-improvement through continual learning.
• Takes the initiative to learn new skills.
• Is open to new ideas and concepts.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Cultural Awareness

• Helps other employees to become more culturally sensitive.
• Recognizes and values individual and cultural differences.
• Seeks knowledge and information about other cultures.
• Participates in cultural training sessions/classes.
• Seeks clarification to avoid misunderstandings.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Client Focus

• Maintains strong relationships with clients.
• Accepts responsibility for ensuring client satisfaction.
• Understands what resources are needed to meet client needs.
• Provides excellent service to clients.
• Makes client's needs a top priority.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Vision

• Communicates a vision of where the Company needs to be in the future.
• Communicates the vision and strategy of [Company]
• Creates a common vision for others.
• Works to support the strategy of [Company]
• Leads employees in new directions.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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