Trustworthy - 360 Degree Feedback Survey Sample #12

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

• Consistently keeps commitments.
• Takes care to maintain confidential information.
• Takes ownership, delivers on commitments
• Works in a way that makes others want to work with her/him.
• Is a person you can trust.

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

Comments:

Leadership

• Able to influence others.
• Highly effective supervisor.
• Gives inspiring presentations or discussions.
• Sets specific, measurable, and challenging goals.
• Able to align manpower, design work, an allocate tasks to achieve goals.

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

Comments:

Problem Solving

• Works cooperatively with others to solve problems.
• Finds creative ways to get things done with limited resources.
• Identifies and assesses all potential responses to a problem.
• Solves problems using logic and insight.
• Is a good problem solver and decision maker

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

Comments:

Results Oriented

• Inspires and motivates co-workers to be productive and energetic at work
• Has a positive attitude that encourages others to continue supporting the production goals.
• Helps the team maintain focus on the goals.
• Motivated by a strong desire to exceed performance standards.
• Measures progress toward the goal.

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

Comments:

Empowering Others

• Recognizes that employees may need flexibility in their working hours.
• Encourages employees to make informed decisions based on their own judgment and reasoning.
• Lets employees complete tasks according to their methods.
• Ensures employees understand what is being assigned to them.
• Gives employees the authority to act on their own.

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.