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

• Plans and organizes continuously while performing all other responsibilities and activities.
• Begins tasks as soon as possible.
• Prioritizes tasks for efficiency.
• Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
• Organizes tasks for the most efficient order of completion.

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

Comments:

Continual Learning

• Participates in regular training offered.
• Sets relevant learning objectives and goals.
• Shares best practices with others and learns from others.
• Pursues professional development opportunities when they arise.
• Seeks opportunities to grow in skills and knowledge.

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

Comments:

Cultural Awareness

• Fosters a diverse workforce free from discrimination and harassment.
• Values the diverse perspectives from others.
• Seeks to reduce obstacles in communication that might arise from cultural differences.
• Helps other employees to become more culturally sensitive.
• Actively listens to other employees' stories about their culture.

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

Comments:

Client Focus

• Creates high quality products for the clients.
• Their activities reflect a strong focus on the client relationship.
• Actively listens to concerns from clients.
• Regularly receives positive feedback from clients.
• Identifies the core needs of the client.

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

Comments:

Vision

• Assigns the vision implementation to team members.
• Recognizes issues and formulates solutions.
• Converts the department's vision into specific goals and a strategic plan.
• Creates a vision to align employees around a long-term goal for the department.
• Brings the strategic vision to fruition by planning, coordinating, and executing necessary actions, while ensuring the team meets the overarching goals of 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.