Results Oriented - 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.

Results Oriented

• Gives extra effort to solve problems and get work done on time.
• Completes all assigned tasks.
• Helps the team maintain focus on the goals.
• Highly motivated to complete tasks despite obstacles that may arise.
• Produces a high volume of work.

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

Adaptability

• Works effectively with various personalities of team members.
• Adjusts plans as needed based on changing conditions.
• Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
• Is aware of changes in the environment.
• Is open to new ideas and innovations.

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

Feedback

• Shares past experiences with others as learning opportunities.
• Open to the suggestions of others.
• Is easy to approach with ideas and opinions.
• Seeks feedback to enhance performance.
• Looks to others for input.

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

Punctuality

• Starts the workday when scheduled.
• Starts meetings on time.
• Avoids making personal phone calls during working hours.
• 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?

Project Management

• Keeps stakeholders informed of progress on the project.
• Prepares and utilizes QC Checklists to ensure high quality.
• Creates the metrics used to measure progress on the project.
• Identifies potential risks to completing the project on time.
• Hold team members accountable for completing specific tasks on the project.

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