Trustworthy - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

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.

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Trustworthy

• Delivers on promises made.
• Demonstrates congruence between statements and actions.
• Demonstrates a sense of responsibility and commitment to public trust.
• Consistently keeps commitments.
• Is trustworthy; is someone I can trust.

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

Responsible

• Responsible for setting the vision of the department.
• Behavior is ethical and honest.
• Works in a way that makes others want to work with her/him.
• Completes assigned work tasks.
• Acts as a resource without removing individual responsibility.

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

Initiative

• Acts with urgency when time is limited.
• Is proactive and gets things done.
• Cleans the workspace without being told.
• Will continue to work on a problem even in the face of obstacles.
• Immediately works on solving problems.

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

Excellence

• Keeps themselves and others focused on constant improvement.
• Produces high quality work.
• Is planful and organized.
• 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

• Develops a unified understanding or strategy that acknowledges and addresses the different viewpoints and resolves conflicts.
• Able to distinguish and navigate between different negotiation strategies and styles.
• Clearly explains the issues and interests at the start of negotiations.
• Bases arguments on objective standards or criteria, such as market value, legal standards, or expert opinions.
• Keeps the negotiations constructive and focused on problem-solving rather than conflict.

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.