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.

Trustworthy

• Works in a way that makes others want to work with her/him.
• Communicates an understanding of the other person's interests, needs and concerns.
• Is a person you can trust.
• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
• Builds and maintains the trust of others.

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

Comments:

Leadership

• Sets clear goals and objectives for subordinates.
• Able to align manpower, design work, an allocate tasks to achieve goals.
• Highly effective supervisor.
• Able to organize the work of others.
• Acts decisively in implementing decisions.

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

Comments:

Problem Solving

• Identifies and assesses all potential responses to a problem.
• Works cooperatively with others to solve problems.
• Generates alternative solutions to problems and challenges.
• Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
• Understands the root causes of problems.

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

Comments:

Results Oriented

• Pursues performance benchmarks despite obstacles and setbacks.
• Determines the best approach to achieving the expected results.
• Recognizes the problem that needs to be solved.
• Motivated by a strong desire to exceed performance standards.
• Makes sure employees have the resources they need to achieve their results.

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

Comments:

Empowering Others

• Trusts employees with important responsibilities.
• Encourages others to obtain necessary skills and training.
• Gives employees the freedom to set their own schedule.
• Assigns tasks that allow employees to use their critical thinking skills.
• Provides opportunities for employee development and growth.

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.