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

• Helps others to improve or meet standards of performance.
• Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
• Motivated to exceed performance goals.
• Allocates resources as needed to accomplish organizational goals.
• Takes calculated risks to achieve significant rewards.

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 expand current job responsibilities.
• Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
• Analyzes processes to determine areas for improvement.
• Looks for ways to expand and learn new job skills.
• Looks for ways to improve work processes and procedures.

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

Feedback

• Seeks feedback to enhance performance.
• Shares past experiences with others as learning opportunities.
• Asks others for their ideas and opinions.
• Considers other's opinion and suggestions.
• Accepts the views of others.

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

Supervisory Skills

• Emphasizes constructive discipline strategies, prioritizing the development and feedback of employees over punitive measures.
• Provides useful and constructive feedback to employees.
• Provides clear expectations of outcomes during performance reviews.
• Able to remain calm in tense situations.
• Encourages employees to achieve their full potential.

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

Communication Skills

• Coaches others and provides feedback on the use of different oral communication styles for different audiences
• Is an effective communicator
• Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
• Able to deliver presentations.
• Addresses issues of key importance to stakeholders.

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.