Punctuality - 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.

Punctuality

• Starts meetings on time.
• Maintains an efficient schedule of activities.
• Responds to requests for information in a timely manner.
• Conducts appointments at scheduled start time.
• Arrives to meetings on time.

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

Adaptability

• Handles changes easily.
• Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
• Adjusts strategy when new information is presented.
• Works effectively in dynamic and changing work environments.
• Easily accepts new responsibilities.

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

Persuasion and Influence

• Develops a good rapport with others.
• Understanding what others need.
• Persuades others to consider alternative points of view.
• Ensures stakeholders are involved in the decision making process.
• Attempts to persuade others rather than simply control them.

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

Decision Making

• Asks for additional information when making critical decisions.
• Outlines the parameters influencing the decision making process.
• Makes decisions based on novel interpretations of the facts.
• Evaluates information before making a final decision.
• Is able to make decisions quickly.

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

Planning

• Allows input from others for the 5-year plan.
• Develops a strategic plan to reduce costs in the department.
• Divides complex tasks into smaller steps to measure progress toward a goal.
• Creates a timeline for events and monitors progress.
• Ensures staff have the supplies and resources necessary to enact the plan.

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