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.

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Achievement

• Reduced department expenses by 25 percent.
• Is results oriented.
• Is determined to complete tasks regardless of obstacles that may occur.
• Increased production by 20 percent.
• Sets performance metrics to measure achievement or attainment of goals.

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

Comments:

Continual Improvement

• Looks for ways to expand and learn new job skills.
• Open to the suggestions from others.
• Encourages an employee culture of continuous improvement to seek out better ways of doing things.
• Looks for ways to improve work processes and procedures.
• Analyzes processes to determine areas for improvement.

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.
• Contributes to a positive and fun work environment.
• Builds open and trusting relationships.
• Treats all people fairly and with respect.
• Shows by their actions that they trust in the positive intentions of others.

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

Comments:

Regulatory/Compliance

• Responds promptly to inquiries from regulatory bodies.
• Keeps informed of various regulations and procedures.
• Develops and implements appropriate reporting channels.
• Knows who to contact at various regulatory agencies if needed.
• Understands the applicable regulations and laws that impact our business.

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

Comments:

Strategic Focus

• Analyzes the environment to develop strategies to achieve competitive advantage in the marketplace.
• Ensures the department has a viable strategy for moving forward.
• Gives adequate consideration to the time and resources available.
• Scans both the internal and external environment to identify strategic opportunities to improve the organization.
• Supports changes being recommended from senior management.

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.