Achievement - 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.

Achievement

• Systematically works to improve the organization
• Completed required training and certification.
• Increased revenue for the company.
• Follows-up and takes action when goals are not met to ensure better results in the future.
• Completed training on the new equipment.

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

Comments:

Continual Improvement

• Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
• Analyzes processes to determine areas for improvement.
• Promotes training and development opportunities to enhance job performance.
• Looks for ways to expand current job responsibilities.
• Open to the suggestions from others.

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

Comments:

Attitude

• Is gracious and professional in their interactions with others.
• Shows by their actions that they trust in the positive intentions of others.
• Builds open and trusting relationships.
• Visibly supports and encourages diversity in style and background.
• Contributes to a positive and fun work environment.

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

Comments:

Regulatory/Compliance

• Uses software tools to monitor compliance and track issues to help identify and respond to non-compliance.
• Offers training to employees to ensure they comply with regulations.
• Develops a confidential reporting system to enable employees to anonymously report safety violations.
• Provides direction and oversight for the compliance department.
• Develops and implements a compliance data recordkeeping system.

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

Comments:

Strategic Focus

• Avoids complacency and strives to be ahead of changes in the business environment.
• Is effective in using strategic tools such as value chain analysis, business environment analysis, and competitor analysis.
• Gives adequate consideration to the time and resources available.
• Undertakes a SWOT analysis to determine the best strategy to move forward.
• Detects changes in the environment and updates the strategic plan to address new opportunities or threats.

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.