Trustworthy - 360 Degree Feedback Survey Sample #11

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.

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

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

Trustworthy

What does Trustworthy mean?
It means that ...

• You demonstrate a sense of responsibility and commitment to public trust.
• You work in a way that makes others want to work with you.
• You build and maintain the trust of others.
• You consistently keep commitments.
• You are a person others can count on.

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 constantly enhance product knowledge through experimentation and play.
• You are open to feedback from others.
• You demonstrate a willingness to participate in continuing education courses.
• You take initiative for own learning and development.
• You recognize own areas for development and consciously seek assignments that will provide practice in areas of developmental need.

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 ...

• You coordinate timelines, events and tasks with various sub-groups within the project.
• You document the sequence of steps needed to complete the project.
• You create the implementation strategy for the project.
• You engage stakeholders and team members in open discussions.
• I inspire the project implementation team to achieve success.

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 know how to produce high quality products/work.
• 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 keep current with technical advances within your professional discipline; embrace and apply new techniques and practices

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 ...

• You are able to decline a poor strategy by proposing alternate strategies.
• You create strategic objectives to increase revenue and profit margins.
• I create innovative strategies.
• You create a SWOT matrix to help analyze data.
• I create a vision for the organization based on how the organization should appear in the future.

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.