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

• Includes others in the decision making processes.
• Helpful
• Constructively receives criticism and suggestions from others.
• Respects the opinions of other employees.
• Consistently demonstrates ability and willingness to trust others.

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

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

Problem Solving

• Is a good problem solver and decision maker
• Able to balance the needs of different people in a solution to a problem.
• Ability to develop innovative solutions to problems.
• Ability to solve problems at root cause rather than at symptom level.
• Effective in solving 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.
• Keeps accurate safety records.
• Encourages others to work safely.
• Committed to safety in the workplace.
• Ensures that all supervisors are aware of regulatory and compliance measures.

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

Strategic Insight

• Pursues strategic alliances with valued partners.
• Creates values statement to ensure all employees are working under the same guiding principles.
• Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
• Develops a plan and strategy for each functional area within the mission statement.
• Strategically aligns projects to the goals of the company.

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.