Achievement - 360 Degree Feedback Survey Sample #10





360 Feedback Survey

Questionnaires Measuring Achievement:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers)
Survey 14 (4-point scale; N/A)
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.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Sample Result Document:
Sample Results

Achievement

  • Accepts setbacks and challenges as improvement opportunities
  • Reduces staff turnover.
  • Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
  • Takes immediate action of projects that fall behind schedule.
  • Created impactful reports for the re-organization committee.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

Continual Improvement

  • Promotes training and development opportunities to enhance job performance.
  • Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  • Looks for ways to expand and learn new job skills.
  • Analyzes processes to determine areas for improvement.
  • Looks for ways to expand current job responsibilities.
If [Participant Name] were to make improvements in Continual Improvement, what are your suggestions for how he/she can improve this?

Feedback

  • Is visible and approachable.
  • Open to the suggestions of others.
  • Looks to others for input.
  • Is easy to approach with ideas and opinions.
  • Considers other's opinion and suggestions.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?

Supervisory Skills

  • Is diligent about completing performance assessments on time.
  • Provides clear expectations of outcomes during performance reviews.
  • Maintains disciplinary policy and fair enforcement of work rules
  • Contributes to a productive work environment for the team.
  • Speaks to all employees involved to get a complete picture of the situation.
If [Participant Name] were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?

Communication Skills

  • Uses software, graphics, or other aids to clarify complex or technical reports.
  • Prepares and delivers presentations.
  • Summarizes or paraphrases the current question to confirm understanding.
  • Considers the audience in how the communication is presented.
  • Maintains an open-door policy to be available for answers and guidance when needed.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].






Strengths


Areas for Development


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