Mediation- 360 Degree Feedback Survey Sample #10

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.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

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Mediation

• Uses open-ended and targeted questions to elicit relevant facts, perspectives, and interests.
• Explores underlying interests and motivations through thoughtful, open-ended questioning.
• Paraphrases and summarizes key points to confirm understanding and reduce misinterpretation.
• Guides parties through impasse by reframing issues and exploring alternative solutions.
• Structures the negotiation process to promote clarity, fairness, and progress toward resolution.

If [Participant Name] were to make improvements in Mediation, what are your suggestions for how he/she can improve this?

Clarity

• Avoids creating ambiguity or mixed messages.
• Communicates ideas and facts clearly and effectively in writing.
• Uses appropriate grammar and tense in communications.
• Clarifies problems and their causes to help employees correct them.
• Clearly defines work objectives for employees.

If [Participant Name] were to make improvements in Clarity, what are your suggestions for how he/she can improve this?

Passion To Learn

• Is open to feedback from others.
• Takes advantage of training opportunities when they arise.
• Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
• Inspires others to learn new things.
• Enhances value to the company through additional training and development.

If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?

Cultural Awareness

• Engages with individuals that have different cultural backgrounds.
• Encourages recognition of diverse perspectives in performance reviews and goal-setting.
• Recognizes and values individual and cultural differences.
• Willing to work with employees who have different cultural backgrounds.
• Is aware of the similarities and differences among and between cultural groups.

If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?

Time Management

• Delegates as many repetitive tasks as possible to maximize the amount of work being done.
• Makes time for developing plans and schedules.
• Delegates with clarity, providing direction and expectations to ensure successful follow-through.
• Creates structured daily and weekly planning routines to track priorities.
• Is proactive in addressing important issues.

If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?

Results Oriented

• Coordinates cross-functional efforts to ensure dependencies are addressed proactively.
• Recognizes and rewards employees who consistently take ownership of their work.
• Sets the objectives for the team.
• Works hard despite obstacles that impede progress.
• Aligns team objectives with broader organizational priorities to ensure strategic coherence.

If [Participant Name] were to make improvements in Results Oriented, what are your suggestions for how he/she can improve this?

Safety

• Committed to safety in the workplace.
• Identifies and addresses safety needs.
• Identifies predictable hazards in the workplace.
• Supports our company's safety programs.
• Encourages others to attend safety training.

If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?

Regulatory/Compliance

• Develops the appropriate incentives (or disincentives) for regulatory compliance.
• Conducts periodic audits of reporting systems to identify discrepancies and improve data integrity.
• Develops and implements appropriate reporting channels.
• Observes, monitors and coordinates compliance activities.
• Establishes a governance body to monitor and guide the organization's activities.

If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?

Business Acumen

• Understands impacts of domestic & global market events & issues.
• Anticipates the consequences to the business of different potential risk events.
• Able to align resources to meet the business needs of the company.
• Creates robust talent development programs through the identification of key skills gaps and future needs ensuring the company is able to meet its mission and vision.
• Interprets data to make informed business decisions.

If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

Entrepreneurship

• Takes the initiative to complete tasks.
• Has a strategic awareness on how to promote the organization.
• Devotes a certain amount of time and effort to developing new business opportunities.
• Able to adapt the department to changing business demands and climate.
• Finds unique ways to go around barriers to success.

If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?

Overall, please rate the effectiveness of [Participant Name Here].

5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.