Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #12





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)
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.

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.

Sample Result Document:
Sample Results
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.
  • Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
  • Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
  • Uses a scheduler/planner to keep tasks organized and on time.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Continual Learning

  • Shares best practices with others and learns from others.
  • Is open to new ideas and concepts.
  • Improves on their skill sets.
  • Pursues learning that will enhance job performance.
  • Builds on their strengths while addressing their weaknesses.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Cultural Awareness

  • Seeks knowledge and information about other cultures.
  • Fosters a diverse workforce free from discrimination and harassment.
  • Encourages a work environment where individual differences are valued.
  • Seeks clarification to avoid misunderstandings.
  • Participates in cultural training sessions/classes.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Client Focus

  • Forms strong client relationships
  • Engages with clients on multiple levels.
  • Identifies the core needs of the client.
  • Responds to feedback from clients.
  • Consistently exceeds client expectations.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Vision

  • Shapes strategies that resonate with the department's shared vision.
  • Demonstrates consistency between words and actions
  • Entrusts team members with executing the vision.
  • Designs strategies that mirror the organization's unified vision.
  • Formulates strategies that reflect a shared vision for the organization.
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.