Managing Risk - 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.

Managing Risk

• Responds appropriately to unexplained or unanticipated events.
• Recognizes that small changes may snowball into major events.
• Accurately perceives potential risks in the workplace and initiates preventative measures.
• Works within constraints of the organization.
• Offers training to reduce safety incidents in the workplace.

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

Comments:

Attitude

• Is gracious and professional in their interactions with others.
• Builds open and trusting relationships.
• Treats all people fairly and with respect.
• Visibly supports and encourages diversity in style and background.
• Works to eliminate unnecessary work or barriers that get in others' way.

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

Comments:

Administrative Skill

• Has strong technical/computer skills.
• Strong organizational skills to keep the workspace and department in order
• High attention to detail.
• Completes reports on-time.
• Implements and uses performance measures.

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

Comments:

Change Management

• Assists others in understanding changes to the organization.
• Is a leading force driving changes.
• Inspires others to accept changes.
• Adopts changes to set and example for others to follow.
• Able to get department employees to accept new changes.

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

Comments:

Business Acumen

• Considers impact of actions on other areas of the organization.
• Periodically assesses the current market environment.
• Understands consumer behaviors and how they may change in the future.
• Can effectively interpret and analyze market data.
• Understands cash flow procedures and statements.

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.