Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #12





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.

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

  • Assigns tasks based on skills of team members.
  • Prioritizes tasks for efficiency.
  • Determines which tasks are critical and which tasks are optional.
  • Organizes tasks for the most efficient order of completion.
  • Ranks the importance of tasks to make sure critical tasks are completed first.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Continual Learning

  • Is open to new ideas and concepts.
  • Pursues professional development opportunities when they arise.
  • Improves on their skill sets.
  • Pursues self-improvement through continual learning.
  • Grasps new ideas, concepts, technical, or business knowledge.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Cultural Awareness

  • Willing to work with employees who have different cultural backgrounds.
  • May advocate for others with different cultural backgrounds.
  • Values the opinions of diverse groups and individual.
  • Seeks out different viewpoints and benefits from different perspectives.
  • Understands how their own cultural background can impact the way they communicate and interact with others.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Client Focus

  • Ensures client commitments and requirements are met or exceeded
  • Accepts responsibility for ensuring client satisfaction.
  • Gives feedback to the client regularly.
  • Acts with integrity in all client interactions.
  • Exceeds expectations of the clients.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Vision

  • Creates a positive vision of the future for the Company.
  • Behaves in a way that is consistent with business values & code of conduct
  • Communicates the vision and strategy of [Company]
  • Persuades others to follow the Company's vision.
  • 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.