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
Always strives to produce the highest quality work products.
Holds employees accountable for their quality of work.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Encourages employees to produce the best quality products.
Encourages others to achieve high quality standards.
Problem Solving	Definite Strength	Meets Standards	Needs Development	N/A
Makes judgments based upon relevant information.
Effective in solving problems.
Ability to solve problems at root cause rather than at symptom level.
Identifies and assesses all potential responses to a problem.
Solves problems using logic and insight.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Does not procrastinate.
Focuses on tasks that have high priority.
Uses agendas when chairing or facilitating meetings.
Completes high-priority work within required timelines.
Prioritizes tasks to identify immediate and long-term objectives.
Achievement	Definite Strength	Meets Standards	Needs Development	N/A
Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
Set high standards in their performance
Takes reasonable risks to achieve desired results.
Takes immediate action of projects fall behind schedule.
Eliminates bureaucratic barriers to streamline processes.
Clarity	Definite Strength	Meets Standards	Needs Development	N/A
Uses appropriate grammar and tense in communications.
Adjusts communication methods to the needs of the audience.
Seeks to reduce ambiguity in messaging and documents.
Clearly defines work objectives for employees.
Communicates ideas and facts clearly and effectively in writing.
Trustworthy	Definite Strength	Meets Standards	Needs Development	N/A
Demonstrates congruence between statements and actions.
Builds and maintains the trust of others.
Demonstrates a sense of responsibility and commitment to public trust.
Is trustworthy; is someone I can trust.
Delivers on promises made.
Developing Others	Definite Strength	Meets Standards	Needs Development	N/A
Creates a work environment that fosters positive feedback to employees.
Is open to receiving feedback.
Assigns tasks and responsibilities to develop skills of others.
Tries to ensure employees are ready to move to the next level.
Creates opportunities for professional development.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Quickly acquire and apply new knowledge and skills when needed
Allows employees to fully participate in employee training and professional development.
Encourages employees to take courses relevant to their job.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Seeks opportunities for professional development.
Performance	Definite Strength	Meets Standards	Needs Development	N/A
Effectively organizes resources and plans
Works effectively in the department.
Shown significant improvement in job performance.
Sets a high standard for job performance.
...Overall Performance
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
Actively participates in the work of teams; seeks and listens to others' contributions
Identifies and resolves conflicts within the team to increase team effectiveness
Facilitates team discussions and problem-solving
Encourages collaboration with other departments.
Contributes to and supports team decision-making process
Adaptability	Definite Strength	Meets Standards	Needs Development	N/A
Able to respond to incidents without stopping the workflow.
Is aware of changes to team personnel.
Able to adapt to changes in technology and processes.
Adjusts to the new vision and mission of the company.
Adjusts strategy when new information is presented.
Action	Definite Strength	Meets Standards	Needs Development	N/A
Is not afraid to take corrective action when necessary.
Motivates & supports others to gain skills
Does whatever it takes (within reason) to get the job done.
Drives and mobilizes others progress toward goals.
Gets the job done.

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.