Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

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.

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

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

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Juggling Multiple Responsibilities

• Builds in extra time in the schedule for unplanned events/occurrences.
• Plans and organizes continuously while performing all other responsibilities and activities.
• Ensures that assignments are prioritized according to the needs of the department/company.
• Assigns tasks based on skills of team members.
• Prioritizes tasks for efficiency.

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

Comments:

Continual Learning

• Takes charge of their training and skills enhancement.
• Participates in regular training offered.
• Sets relevant learning objectives and goals.
• Takes the initiative to learn new skills.
• Views setbacks as opportunities to learn from.

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

Comments:

Cultural Awareness

• Participates in diversity and inclusion initiatives to model respectful engagement.
• May advocate for others with different cultural backgrounds.
• Avoids referring to stereotypes about others from different cultures.
• Publicly acknowledges cultural contributions and achievements in team settings.
• Promotes continuous learning about customs, traditions, and workplace etiquette.

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

Comments:

Client Focus

• Creates new and innovative products for clients.
• Provides a responsive service that meets the needs of clients.
• Anticipates and proactively resolves issues that the client may face.
• Exceeds expectations of the clients.
• Is committed to resolving client issues in a positive way.

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

Comments:

Vision

• Creates an ambitious and aspirational vision for the company.
• Identifies problems and crafts solutions.
• Encourages cross-functional collaboration to break silos and accelerate vision execution.
• Provides staff with the necessary resources, authority, and support to effectively implement and achieve the organization's vision.
• Develops and executes a strategic 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.