Others- 360 Degree Feedback Survey Sample #10

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.

Others

• Works across boundaries within the organization.
• Is able to see issues from others' perspectives.
• ...treats others with respect and dignity.
• Supports the efforts of other employees in implementing solutions to problems.
• Helpful

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

Creativity

• Adds value to the department/organization.
• Is creative and inspirational.
• Conceives, implements and evaluates ideas.
• Creates a lot of new ideas.
• Is creative.

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

Problem Solving

• Able to balance the needs of different people in a solution to a problem.
• Works cooperatively with others to solve problems.
• Ability to develop innovative solutions to problems.
• Ability to solve problems at root cause rather than at symptom level.
• Solves problems using logic and insight.

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

Safety

• Identifies and addresses safety needs.
• Points out behaviors in others that may be unsafe.
• Identifies predictable hazards in the workplace.
• Is aware of OSHA safety guidelines.
• Encourages others to work safely.

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

Strategic Insight

• Implements long-term solutions to problems.
• Identifies root causes of problems.
• Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
• Anticipates business cycles and trends and makes adjustments in a timely manner.
• Formulates policies and strategies for addressing the Company's important challenges.

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.