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 effectively with people from other departments.
• Helpful
• Works across boundaries within the organization.
• Forms working relationships with employees from other departments.
• Is 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

• Inspires creativity in their team.
• Adds value to the department/organization.
• Creates a lot of new ideas.
• Develops solutions to challenging problems.
• Is creative and inspirational.

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

Problem Solving

• Effective in solving problems.
• Identifies and assesses all potential responses to a problem.
• Is a good problem solver and decision maker
• Ability to develop innovative solutions to problems.
• Makes judgments based upon relevant information.

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

Safety

• Participates in safety training when available.
• Supports our company's safety programs.
• Points out behaviors in others that may be unsafe.
• Develops a strong safety culture.
• Seeks to reduce the likelihood of accidents.

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

Strategic Insight

• Anticipates business cycles and trends and makes adjustments in a timely manner.
• Identifies potential problems before they become critical incidents.
• Communicates vision for the department and company.
• Creates strategies that significantly benefit the Company.
• Analyzes records and reports to obtain insight into potential issues and trends.

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.