Bias for Action - 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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Bias for Action

• Starts tasks immediately and then updates the course of action as needed.
• Approaches tasks with enthusiasm and a problem-solving mindset that inspires colleagues.
• Overcomes obstacles in pursuit of goals.
• Takes calculated risks.
• Fosters a culture of action orientation.

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

Comments:

Cultural Awareness

• Is aware of differences in how individuals from other cultures greet one another.
• Views diversity as a strength, not as an issue.
• Actively listens to diverse viewpoints without judgment or dismissal.
• Seeks clarification to avoid misunderstandings.
• Demonstrates empathy and patience when navigating cross-cultural misunderstandings.

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

Comments:

Innovation

• Promotes innovation as an opportunity to gain competitive advantages in the marketplace.
• Offers solutions to problems when talking with clients.
• Transforms raw ideas into actionable plans with a higher likelihood of successful implementation.
• Encourages disruptive innovation allowing managers to identify and seize opportunities that traditional approaches might overlook.
• Is able to think through complex problems using unique solutions.

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

Comments:

Co-worker Development

• Provides ongoing feedback to co-workers on their development progress
• Adapts coaching and mentoring approach to meet the style or needs of individuals
• Sets and clearly communicates expectations, performance goals, and measurements to others
• Works to identify root causes of performance problems
• Gives others development opportunities through project assignments and increased job responsibilities

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

Comments:

Planning

• Creates effective logistics plans to achieve high operational efficiency.
• Develops plans used to accomplish urgent or critical tasks.
• Accomplishes major tasks by breaking them into manageable pieces.
• Sets long-term goals and reverse-engineers short-term actions to achieve them.
• Is able to clearly articulate the plan for the department/district.

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.