Supervisory Skills - 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.

Supervisory Skills

• Promotes teamwork and cooperation within the department.
• Has a strong work ethic that inspires others.
• Is aware of the unique strengths of each employee.
• Provides constructive, ongoing feedback.
• Sets the objectives to be completed for the shift.

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

Excellence

• Is planful and organized.
• Produces high quality work.
• Keeps themselves and others focused on constant improvement.
• Demonstrates the analytical skills to do their job.
• Demonstrates the functional or technical skills necessary to do their job.

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

Action

• Is not afraid to take corrective action when necessary.
• Takes advantage of changes to the current situation.
• Anticipates needs and takes pre-emptive action to address the issue.
• Immediately develops alternatives and solutions when presented with a problem or issue.
• Works at a quick pace.

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

Change Management

• Effective in dealing with ambiguous and challenging situations.
• Adopts changes to set and example for others to follow.
• Addresses organizational and departmental resistance to changes.
• Works cooperatively with others to implement changes.
• 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?

Co-worker Development

• Takes immediate action on poor performance
• Adapts coaching and mentoring approach to meet the style or needs of individuals
• Works to identify root causes of performance problems
• Gives others development opportunities through project assignments and increased job responsibilities
• Provides ongoing feedback to co-workers on their development progress

If [Participant Name] were to make improvements in Co-worker Development, 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.