Company- 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Assessments Measuring Company:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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.

Sample Result Document:
Sample Results
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.


Definite Strength Meets Standards Needs Development N/A
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Impresses upon others the important aspects of [Company].
  1. Follows existing procedures and processes.
  1. Attends [Company] gatherings and social events.
  1. Understands the use of [Company] products and services.


Definite Strength Meets Standards Needs Development N/A
  1. Creates a culture that fosters and values collaboration.
  1. Encourages teamwork and collaboration.
  1. Facilitates team discussions and problem-solving
  1. Recognizes and respects the contributions and needs of each individual.
  1. Actively participates in the work of teams; seeks and listens to others' contributions

Passion To Learn

Definite Strength Meets Standards Needs Development N/A
  1. Takes initiative for own learning and development.
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Inspires others to learn new things.
  1. Embraces new technology and procedures.

Emotional Intelligence

Definite Strength Meets Standards Needs Development N/A
  1. Accurately perceives the emotional reactions of others.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is able to control their own emotions.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Able to understand others' points of view.


Definite Strength Meets Standards Needs Development N/A
  1. Works well in this position.
  1. Has great overall performance
  1. Effective in performing his/her job.
  1. Shown significant improvement in job performance.
  1. Listens and responds to issues and problems


Definite Strength Meets Standards Needs Development N/A
  1. Asks the "right" questions to size up or evaluate situations.
  1. Uses appropriate techniques to solve problems.
  1. Identifies opportunities for progress and innovation.
  1. Analyzes data and information from several sources and arrives at logical conclusions.
  1. Implements data validation techniques and methods.


Definite Strength Meets Standards Needs Development N/A
  1. Uses appropriate grammar and tense in communications.
  1. Clearly explains responsibilities to individuals.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Adjusts communication methods to the needs of the audience.
  1. Maintains clarity in goals and objectives.

Interpersonal Skills

Definite Strength Meets Standards Needs Development N/A
  1. Expresses appreciation of other's work.
  1. Demonstrates willingness to work with others.
  1. Provides constructive feedback in a way that fosters acceptance and development.
  1. Is a role model for others
  1. Comes across as credible, knowledgeable and sincere

Customer Focus

Definite Strength Meets Standards Needs Development N/A
  1. Makes sure team members understand the issues faced by the customer.
  1. Is pro-active in dealing with customers and addressing their needs.
  1. Creates high quality products for the customers.
  1. Is honest in all communication with the customers.
  1. Transparent in all communications with the customer.

Conflict Management

Definite Strength Meets Standards Needs Development N/A
  1. Clearly expresses expectations to others.
  1. Helps employees to think through alternative ways to resolve conflict situations.
  1. Deals effectively with employee grievances.
  1. Discusses conflict situations with supervisor.
  1. Identifies and takes steps to prevent potential confrontations.

  1. Overall, please rate the effectiveness of [Participant Name Here].

  2. Strengths

  3. Areas for Development

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