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360 Degree Feedback Example For Peers

How peers can provide feedback.
This is a 360-degree feedback questionnaire for peers to provide feedback on a variety of core competencies. This questionnaire can be administered as is, or with modifications that you specify.

Sample Result Document:
Sample Results
ABC Global 360-Degree Feedback


Rater: [Your Name]
You are providing feedback to: [Participant Name]

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Communication Skills

Strongly
Disagree
Disagree
Agree
Strongly
Agree
  1. Deconstructs complex issues into understandable segments.
  1. Mentors others on enhancing their written communication.
  1. Confidently communicates across all organizational levels, including external stakeholders.
  1. Overcomes barriers that prevent effective communication.
  1. Delivers effective presentations.


Self Management

Strongly
Disagree
Disagree
Agree
Strongly
Agree
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Steps away from a situation to process appropriate response.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.


Passion To Learn

Strongly
Disagree
Disagree
Agree
Strongly
Agree
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Exhibits willingness to upgrade skills through additional training and education.
  1. Is open minded and curious about learning new skills.
  1. Is committed to enhancing their own knowledge and skills.
  1. Enhances value to the company through additional training and development.


Feedback

Strongly
Disagree
Disagree
Agree
Strongly
Agree
  1. Accepts the views of others.
  1. Open to the suggestions of others.
  1. Seeks feedback to enhance performance.
  1. Looks to others for input.
  1. Actively seeks feedback from others.


Time Management

Strongly
Disagree
Disagree
Agree
Strongly
Agree
  1. Maximizes time management by multitasking.
  1. Achieves more through effective time management.
  1. Combines tasks to save time.
  1. Avoids distractions from personal phone or other personal devices.
  1. Understands the importance of being on time.


Trustworthy

Strongly
Disagree
Disagree
Agree
Strongly
Agree
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Is trustworthy; is someone I can trust.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Takes care to maintain confidential information.
  1. Works in a way that makes others want to work with her/him.


Others

Strongly
Disagree
Disagree
Agree
Strongly
Agree
  1. ...treats others with respect and dignity.
  1. Helpful
  1. Forms working relationships with employees from other departments.
  1. Is able to see issues from others' perspectives.
  1. Constructively receives criticism and suggestions from others.


Strategic Focus

Strongly
Disagree
Disagree
Agree
Strongly
Agree
  1. Identifies the role of each department in meeting the strategic goals.
  1. Pursues strategic alliances with valued partners.
  1. Aligns cross-functional teams to the strategic plan.
  1. Gives adequate consideration to the time and resources available.
  1. Creates a strategy to achieve departmental objectives.


Company

Strongly
Disagree
Disagree
Agree
Strongly
Agree
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Impresses upon others the important aspects of [Company].
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Attends [Company] gatherings and social events.
  1. Understands the use of [Company] products and services.


Global Perspective

Strongly
Disagree
Disagree
Agree
Strongly
Agree
  1. Works well with others from different cultural backgrounds.
  1. Creates an environment where individual differences are valued and supported.
  1. Facilitates open communication with individuals from other countries.
  1. Analyzes global issues/problems that are having a large impact on the Company.
  1. Comfortable using teleconferencing equipment to facilitate meetings with others abroad.


  1. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  2. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  3. Overall, please rate the effectiveness of [Participant Name Here].







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