Others- 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.

Others

• Consistently demonstrates ability and willingness to trust others.
• Works across boundaries within the organization.
• Helpful
• Supports the efforts of other employees in implementing solutions to problems.
• Able to see issues from others' perspectives.

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

Creativity

• Is creative.
• Develops solutions to challenging problems.
• Is creative and inspirational.
• Creates a lot of new ideas.
• Inspires creativity in their team.

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

Problem Solving

• Generates alternative solutions to problems and challenges.
• Works cooperatively with others to solve problems.
• Able to balance the needs of different people in a solution to a problem.
• Ability to solve problems at root cause rather than at symptom level.
• Implements effective solutions to critical problems.

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

Safety

• Points out behaviors in others that may be unsafe.
• Ensures compliance with safety regulations.
• Develops a culture of safety.
• Participates in safety training when available.
• Identifies predictable hazards in the workplace.

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

Strategic Insight

• Identifies root causes of problems.
• Identifies potential problems before they become critical incidents.
• Works with others to develop insights into the resources and actions required to produce desired results.
• Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
• Communicates with employees to find out their needs.

If [Participant Name] were to make improvements in Strategic Insight, 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.