Trustworthy - 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.

Trustworthy

• Communicates an understanding of the other person's interests, needs and concerns.
• Takes ownership, delivers on commitments
• Demonstrates congruence between statements and actions.
• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
• Works in a way that makes others want to work with her/him.

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

Responsible

• Is a person you can trust.
• Responsible for setting the vision of the department.
• ...takes personal responsibility for results.
• Behavior is ethical and honest.
• Sets a good example.

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

Initiative

• Gladly seeks additional responsibilities.
• Initiates draft documents for the director.
• Takes charge when there is a crisis.
• Encourages others on the team to suggest process improvements.
• Looks for opportunities to move projects forward.

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

Excellence

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

• Maintains good interpersonal relationships with representatives from the other party.
• Maintains communication channels between parties in the negotiation.
• A proficient conflict resolver who effectively navigates workplace disputes to maintain a harmonious and productive environment.
• Tailors approaches to more effectively address current demands.
• Maintains a calm demeanor, even when discussions get heated.

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].

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.