Achievement - 360 Degree Feedback Survey Sample #10

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.

Achievement

• Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
• Completed required training and certification.
• Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
• Inspires others to work with a sense of urgency.
• Uses established goals and performance measures to keep track of performance.

If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

Continual Improvement

• Looks for ways to improve work processes and procedures.
• Promotes training and development opportunities to enhance job performance.
• Encourages an employee culture of continuous improvement to seek out better ways of doing things.
• Open to the suggestions from others.
• 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.
• Looks to others for input.
• Considers other's opinion and suggestions.
• Seeks feedback to enhance performance.
• Open to the suggestions of others.

If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?

Supervisory Skills

• Is a calming force during stressful periods.
• Listens to the concerns of employees.
• Encourages employees to take responsibility for mistakes.
• Coaches and mentors others to achieve higher performance levels.
• Uses disciplinary measures with the intent to guide and improve behavior, rather than to seek retribution.

If [Participant Name] were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?

Communication Skills

• Gives clear and convincing presentations.
• Open to receiving feedback from others.
• Keeps the supervisor informed about achievements and milestones.
• Confidently interacts with all tiers of the organization.
• Conducts regular performance feedback discussions with individuals and teams

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].

5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

Strengths


Areas for Development


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