Quality - 360 Degree Feedback Survey Sample #9

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.

Quality	Definite Strength	Meets Standards	Needs Development	N/A
Encourages others to achieve high quality standards.
Corrects issues in a timely manner.
Always strives to produce the highest quality work products.
Encourages employees to produce the best quality products.
Reflects on what is working and what could be improved.
Problem Solving	Definite Strength	Meets Standards	Needs Development	N/A
Understands the root causes of problems.
Makes judgments based upon relevant information.
Effective in solving problems.
Implements effective solutions to critical problems.
Generates alternative solutions to problems and challenges.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Deals effectively with interruptions.
Delegates tasks to free up time to focus on more important issues.
Stops doing things that have suddenly become unnecessary or irrelevant.
Tackles major tasks or problems first before addressing minor issues.
Manages the workload effectively in order to stay on schedule.
Achievement	Definite Strength	Meets Standards	Needs Development	N/A
Sets challenging goals for the department.
Reduced department expenses by 25 percent.
Demonstrates improvement in performance.
Completed training on the new equipment.
Takes calculated risks to achieve higher levels of performance.
Clarity	Definite Strength	Meets Standards	Needs Development	N/A
Is clear about the roles and duties of team members.
Communicates ideas and facts clearly and effectively in writing.
Avoids stating unclear or conflicting goals.
Makes sure employees understand why they were given certain assignments.
Writes clear job descriptions for positions in the organization.
Trustworthy	Definite Strength	Meets Standards	Needs Development	N/A
Demonstrates a sense of responsibility and commitment to public trust.
Is a person you can trust.
Works in a way that makes others want to work with her/him.
Delivers on promises made.
Communicates an understanding of the other person's interests, needs and concerns.
Developing Others	Definite Strength	Meets Standards	Needs Development	N/A
Creates a work environment that fosters positive feedback to employees.
Provides constructive feedback to others.
Assesses employees' developmental needs.
Encourages employees through recognition of positive changes in behavior.
Sets performance objectives for subordinates that encourages development opportunities.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Allows employees to fully participate in employee training and professional development.
Contributing fully to the extent of their skills
Encourages employees to take courses relevant to their job.
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for continuous learning.
Performance	Definite Strength	Meets Standards	Needs Development	N/A
Listens and responds to issues and problems
Able to organize work.
Works well in this position.
Has great overall performance
Effective in performing his/her job.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
Supports open communication between team members.
Shares resources and information with the team.
Helps the team balance analysis with decisiveness in making decisions.
Encourages dialog between team members.
Creates a climate that encourages team participation.
Adaptability	Definite Strength	Meets Standards	Needs Development	N/A
Adjusts priorities to changing business goals.
Handles unexpected events without a loss of productivity.
Is aware of changes to team personnel.
Is flexible and open minded in dealing with others.
Adjusts plans to meet the needs of new constraints.
Action	Definite Strength	Meets Standards	Needs Development	N/A
Gladly accepts new challenges and works on them with urgency.
Works quickly to get the job done.
Conducts critical-incident review immediately after the event.
Creates innovative products and services.
Acts immediately instead of waiting for someone else to solve the issue.

61. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for [Participant Name Here]'s assessment.