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

• Is aware of the deadlines for specific tasks/assignments.
• Coordinates the work of a team by assigning tasks to other team members.
• Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
• Switches attention to more urgent tasks when necessary.
• 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

• Pursues learning that will enhance job performance.
• Participates in regular training offered.
• Takes charge of their training and skills enhancement.
• Pursues professional development opportunities when they arise.
• Improves on their skill sets.

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

Comments:

Cultural Awareness

• Understands the impact that our culture may have on interactions between individuals.
• May advocate for others with different cultural backgrounds.
• Develops skills and attitudes to bridge cultural differences.
• Seeks out different viewpoints and benefits from different perspectives.
• Is curious and willing to ask questions about the cultural differences in the workplace.

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

Comments:

Client Focus

• Fosters an environment that supports strong client focus.
• Uses feedback from the client to help improve the client's experience.
• Takes the initiative in solving difficult client issues.
• Is available to respond to client needs.
• Anticipates problems that the client may encounter.

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

Comments:

Vision

• Behaves in a way that is consistent with business values & code of conduct
• Effectively communicates the vision to employees.
• Promotes a vision that inspires individuals to take risks to achieve greater rewards.
• Provides a detailed schedule that specifies key milestones and deadlines, guiding the organization step-by-step towards achieving its long-term goals and overall vision.
• Builds a culture that reinforces the manager's vision.

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.