Commitment to Result - 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.

Commitment To Result

• Willing to do whatever it takes-not afraid to have to put in extra effort.
• Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
• Able to focus on a task even when working alone.
• Committed to the team.
• Coordinates all department activities into a cohesive team effort.

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

Comments:

Business Acumen

• Recognizes the potential business impact of specific risks.
• Aware of regulations that impact our business.
• Conducts thorough market research to understand industry trends, customer needs, and competitive landscapes.
• Anticipates customer's business needs.
• Gathers important information from customers to make sure our products are relevant and useful.

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

Comments:

Goals

• Achieves goals.
• Sets high expectations and goals; encourages others to support the organization.
• Makes sure that I have a clear idea of our group's goals.
• Achieves established goals.
• Understands & contributes to development of strategic goals.

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

Comments:

Passion To Learn

• Creates an environment that supports personal development and exploration.
• Stays up-to-date on emerging technologies.
• Will participate in training classes even if offered outside of normal working hours.
• Takes initiative for own learning and development.
• Enhances value to the company through additional training and development.

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

Comments:

Empowering Others

• Fosters a sense of ownership and accountability for the process/product.
• Creates a culture where employees are recognized and rewarded for taking the initiative and making impactful choices.
• Enables team members to make their own decisions on the project.
• Permits employees to take training to become more independent.
• Allows employees to participate in the workload of the department.

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.