Commitment - 360 Degree Feedback Survey Sample #11

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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Commitment

What does Commitment mean?
It means that ...

• You foster ownership of team objectives and shared success.
• You seek high-level commitment from senior managers before proceeding.
• You model transparency in commitment, showing that ownership of a task means being answerable for both successes and setbacks.
• I stand resolute in the face of obstacles, demonstrating commitment to achieving goals.
• You demonstrate through behavior a strong investment in the organization's success.

To what extent does this person exhibit Commitment?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Supervisory Skills

What does Supervisory Skills mean?
It means that ...

• I instruct employees on the safest way to perform tasks.
• You intervene immediately if disciplinary action is warranted.
• I am sought after for advice in a variety of situations.
• I seek to enhance the performance of employees under my supervision.
• I am a calming force during stressful periods.

To what extent does this person exhibit Supervisory Skills?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Quality

What does Quality mean?
It means that ...

• You always strive to produce the highest quality work products.
• You effectively anticipate quality issues and address them before they impact production lines.
• I create quality improvement programs and processes.
• You create effective policies regarding quality of services and products.
• You develop and maintains quality control checklists for the manufacturing department.

To what extent does this person exhibit Quality?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Company

What does Company mean?
It means that ...

• I implement an EEO policy ensuring that all employees are treated fairly and without discrimination.
• You maintain buildings in excellent working condition.
• I regularly engage with employees to understand what drives their satisfaction and well-being.
• I am proud to represent a company that others look up to.
• I foster an organizational culture that focuses on collaboration, respect, and continuous learning.

To what extent does this person exhibit Company?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Self Management

What does Self Management mean?
It means that ...

• You do not allow own emotions to interfere with the performance of others.
• You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
• You step away from a situation to process appropriate response.
• You consciously control own negative emotions in order to keep team morale up.
• You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.

To what extent does this person exhibit Self Management?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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