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

• Works in a way that makes others want to work with her/him.
• Demonstrates a sense of responsibility and commitment to public trust.
• Is a person you can trust.
• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
• Builds and maintains the trust of others.

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
• Works in a way that makes others want to work with her/him.
• ...takes personal responsibility for results.
• Sets a good example.
• Holds herself / himself accountable to goals / objectives

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

Initiative

• Anticipates what needs to be done and makes necessary preparations.
• Does things without being told.
• Confronts problems immediately without supervisor instructions.
• When working on a problem in a team, they are often the first to suggest possible solutions.
• 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.
• Is planful and organized.
• Keeps themselves and others focused on constant improvement.
• Produces high quality work.
• Can be counted on to add value wherever they are involved.

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

Negotiation

• Actively listens to conversations to be able to recall important details later.
• Stays calm and focuses on the core issues to be discussed.
• Able to say "no" when it is essential to maintaining quality and high standards.
• Establishes good working relationships with others.
• Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.

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.