Trustworthy - 360 Degree Feedback Survey Sample #12

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

• Demonstrates a sense of responsibility and commitment to public trust.
• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
• Communicates an understanding of the other person's interests, needs and concerns.
• Is a person you can trust.
• Delivers on promises made.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Leadership

• Is a highly effective supervisor.
• Demonstrates leadership and courage in critical situations.
• Leads team to set goals, solve problems, and accomplish tasks.
• Effectively leads others.
• Motivates and challenges employees to attain a shared vision.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Problem Solving

• Clearly articulates expected outcomes and the current situation to foster a shared understanding of the problem among stakeholders.
• Effective in developing innovative products and services.
• Able to solve problems at root cause rather than at symptom level.
• Works extra as needed to find the best solution to a problem.
• Fosters a willingness to experiment and try new things, even if there's a risk of failure.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Results Oriented

• Provides clear expectations for employees.
• Quickly analyzes the situation to determine the most pressing needs.
• Stays focused on meeting the needs of customers.
• Removes bureaucratic barriers to streamline processes.
• Achieves high levels of performance.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Empowering Others

• Set clear goals for assignments.
• Gives employees autonomy to complete tasks on their own.
• Lets employees make their own decisions.
• Expresses confidence in the abilities of others.
• Motivates and encourages employees to be successful in their jobs.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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