Strategic Insight- 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.

Strategic Insight

• Communicates with employees to find out their needs.
• Identifies potential problems before they become critical incidents.
• Understands how to strategically grow the business and increase customers.
• Lets employees know how their roles contribute toward the achievement of strategic company objectives.
• Creates values statement to ensure all employees are working under the same guiding principles.

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

Delegation

• Allows subordinates to use their own methods and procedures.
• Assigns tasks to create learning opportunities for the employees.
• Tells subordinates what to do, not how to do it.
• Entrusts subordinates with important tasks.
• Delegates authority and responsibility to subordinates and holds them accountable for their actions.

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

Quality

• Provides regular and timely feedback on quality levels.
• Successfully implements quality controls within the department.
• Is innovative and creative in response to issues involving quality of the products.
• Sets benchmarks for quality improvements.
• Adopts, integrates, and disseminates quality guidelines and standards.

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

Change Management

• Facilitates change with minimal resistance.
• Inspires others to accept changes.
• Adopts changes to set and example for others to follow.
• Able to get team members to change their attitudes.
• Inspires others to want to change.

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

Trustworthy

• Takes care to maintain confidential information.
• Delivers on promises made.
• Consistently keeps commitments.
• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
• Communicates an understanding of the other person's interests, needs and concerns.

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