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 vision for the department and company.
• Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
• Formulates strategies and action plans to ensure successful completion of goals and objectives.
• Maintains knowledge of current trends in the industry.
• Analyzes records and reports to obtain insight into potential issues and trends.

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

Delegation

• Delegates authority and responsibility to subordinates and holds them accountable for their actions.
• Entrusts subordinates with important tasks.
• Allows employees to decide how they wish to complete the tasks.
• Defines the roles, responsibilities, required actions, and deadlines for team members.
• Encourages and empowers subordinates to use initiative in achieving goals and objectives.

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

Quality

• Encourages others to produce the highest quality work products.
• Always strives to produce the highest quality work products.
• Encourages others to achieve high quality standards.
• Holds employees accountable for their quality of work.
• Corrects issues in a timely manner.

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

Change Management

• Adopts changes to set and example for others to follow.
• Inspires others to want to change.
• Facilitates change with minimal resistance.
• Develops plans for following through on the changes.
• Is an inspiration for others to accept the recent changes.

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

Trustworthy

• Delivers on promises made.
• Is a person you can trust.
• Communicates an understanding of the other person's interests, needs and concerns.
• Is trustworthy; is someone I can trust.
• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.

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.