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

• Treats others with respect and dignity.
• ...treats others with respect and dignity.
• Works across boundaries within the organization.
• Constructively receives criticism and suggestions from others.
• Includes others in the decision making processes.

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.
• Inspires creativity in their team.
• Is creative and inspirational.
• Conceives, implements and evaluates ideas.
• 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

• Solves problems using logic and insight.
• Generates alternative solutions to problems and challenges.
• Ability to develop innovative solutions to problems.
• Understands the root causes of problems.
• Actively seeks the root cause of a problem.

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

Safety

• Commits adequate resources toward safety measures.
• Seeks to reduce the likelihood of accidents.
• Points out behaviors in others that may be unsafe.
• Participates in safety training when offered.
• Ensures compliance with safety regulations.

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

Strategic Insight

• Creates a mission statement describing the purpose for the organization.
• Attends industry conferences to gain further insight into how other companies deal with similar issues.
• Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
• Formulates policies and strategies for addressing the Company's important challenges.
• Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.

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.