Trustworthy - 360 Degree Feedback Survey Sample #11

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.

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

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Trustworthy

What does Trustworthy mean?
It means that ...

• You are trustworthy; is someone that can be trusted.
• You demonstrate congruence between statements and actions.
• You are a person others can count on.
• You deliver on promises made.
• You take care to maintain confidential information.

To what extent does this person exhibit Trustworthy?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Passion To Learn

What does Passion To Learn mean?
It means that ...

• You take advantage of training opportunities when they arise.
• You demonstrate a willingness to participate in continuing education courses.
• You recognize own areas for development and consciously seek assignments that will provide practice in areas of developmental need.
• You demonstrate through personal behavior the commitment to high standards of performance.
• You are committed to enhancing your own knowledge and skills.

To what extent does this person exhibit Passion To Learn?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Project Management

What does Project Management mean?
It means that ...

• I prepare and utilize QC Checklists to ensure high quality.
• You correctly estimate the cost of supplies for the project.
• You ensure work is completed to the appropriate standards.
• You establish the scope for the project.
• I identify potential risks that could pose challenges to the project timeline.

To what extent does this person exhibit Project Management?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Technical

What does Technical mean?
It means that ...

• You willingly share information and expertise; sought out as resource by others
• You demonstrate mastery of the technical competencies required in your work.
• You seek information from others as needed.
• You willingly share your technical expertise; sought out as resource by others
• You use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.

To what extent does this person exhibit Technical?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strategic Focus

What does Strategic Focus mean?
It means that ...

• I develop a strategic vision for the future.
• You caft and execute strategies to advance the company.
• You create plans to develop and promote organizational and area strengths, as well as to address weaknesses.
• You strategically deploy resources to areas of the greatest need.
• You make decisions that yield more competitive advantages.

To what extent does this person exhibit Strategic Focus?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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