Commitment - 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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Commitment

• Maintains a strong commitment to continuous improvement.
• Keeps priorities clear, resisting distractions and staying aligned with agreed-upon commitments.
• Transforms passive agreement by employees into active responsibility, ensuring each team member feels personally invested.
• Secures commitment from team members.
• Maintains concentration on critical outcomes, even when faced with competing demands or shifting circumstances.

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

Comments:

Business Acumen

• Considers environmental, social, and governance (ESG) factors to ensure the business is sustainable in the long run.
• Bases decisions on business data rather than on intuition or hunches.
• Recognizes the individual needs of customers.
• Prioritizes risks based on an understanding of their possible impact to the company.
• Engages in strategic alliances with valued partners.

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

Comments:

Goals

• Defines goals that are directly relevant to the specific scenario so that individuals and teams can focus their efforts more effectively and efficiently.
• Sets goals for themselves professionally.
• Clearly defines challenging but attainable goals.
• Keeps employees informed about the status of a project goal.
• Actively provides the necessary resources, guidance, and encouragement to help ensure success of the goals.

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

Comments:

Passion To Learn

• Is open minded and curious about learning new skills.
• Takes initiative for own learning and development.
• Is open to feedback from others.
• Demonstrates a willingness to participate in continuing education courses.
• Embraces new technology and procedures.

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

Comments:

Empowering Others

• Encourages employees to take the lead on solving team-wide challenges.
• Values the expertise that others bring to the team.
• Motivates and encourages employees to be successful in their jobs.
• Encourages employees to pursue learning that aligns with both personal and organizational goals.
• Values the opinions of others.

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.