Trustworthy - 360 Degree Feedback Survey Sample #10





360 Feedback Survey

Questionnaires Measuring Trustworthy:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Sample Result Document:
Sample Results

Trustworthy

  • Is trustworthy; is someone I can trust.
  • Delivers on promises made.
  • Builds and maintains the trust of others.
  • Takes care to maintain confidential information.
  • 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?

Responsible

  • Sets a good example
  • Completes assigned work tasks.
  • Sets a good example.
  • Works in a way that makes others want to work with her/him.
  • Responsible for setting the vision of the department.
If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?

Initiative

  • Takes the initiative to change the direction or course of events.
  • Gladly seeks additional responsibilities.
  • Expands the offerings of the department by working evenings and weekends.
  • Immediately informs the HR Department of any personnel complaints or issues.
  • Takes the initiative to solve pressing issues.
If [Participant Name] were to make improvements in Initiative, what are your suggestions for how he/she can improve this?

Excellence

  • Demonstrates the analytical skills to do their job.
  • Demonstrates the functional or technical skills necessary to do their job.
  • Keeps themselves and others focused on constant improvement.
  • Can be counted on to add value wherever they are involved.
  • Takes a lot of pride in their work.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Negotiation

  • Finds shared interests and solutions that benefit all parties involved.
  • Establishes a protocol/structure at the beginning of the negotiations for the development of issues.
  • Clearly communicates boundaries and the reasons behind them.
  • Listens to all sides without bias and makes fair decisions.
  • Is aware of and manages own emotions and understands the emotions of others which helps in navigating tense situations and in finding common ground.
If [Participant Name] were to make improvements in Negotiation, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].






Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.