Achievement - 360 Degree Feedback Survey Sample #12

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Achievement

• Demonstrates a well-organized and timely approach to achieve desired results
• Set high standards in their performance
• Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
• Accepts setbacks and challenges as improvement opportunities
• Systematically works to improve the organization

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.
• Looks for ways to expand current job responsibilities.
• Looks for ways to expand and learn new job skills.
• Open to the suggestions from others.
• Looks for ways to improve work processes and procedures.

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

Comments:

Attitude

• Treats all people fairly and with respect.
• Contributes to a positive work environment.
• Visibly supports and encourages diversity in style and background.
• Works to eliminate unnecessary work or barriers that get in others' way.
• 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

• Understands and adheres to internal and external regulations.
• Explains regulations and procedures to others as required.
• Addresses issues quickly before they develop into major problems.
• Keeps informed of various regulations and procedures.
• Ensures regulations are followed as required.

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

Comments:

Strategic Focus

• Looks for opportunities to enhance contributions to the bottom line.
• Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
• Able to decline a poor strategy by proposing alternate strategies.
• Understands & contributes to development of strategic goals.
• Understands their role within the organization.

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.