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. Understands how decisions impact other business units beyond their immediate department of work group.
  1. Understands the use of [Company] products and services.
  1. Impresses upon others the important aspects of [Company].
  1. Follows existing procedures and processes.
  1. Expresses loyalty and dedication to [Company] in interactions with others.


Definite Strength Meets Standards Needs Development N/A
  1. Applies knowledge of team behavior to help achieve organizational goals and objectives.
  1. Recognizes and respects the contributions and needs of each individual.
  1. Seeks and listens to other's contributions
  1. Communicates a clear message that teamwork and collaboration are expected.
  1. Builds consensus and shares relevant information.

Passion To Learn

Definite Strength Meets Standards Needs Development N/A
  1. Is committed to enhancing their own knowledge and skills.
  1. Enhances value to the company through additional training and development.
  1. Holds self and associates accountable for goal achievement.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Takes initiative for own learning and development.

Emotional Intelligence

Definite Strength Meets Standards Needs Development N/A
  1. Accurately perceives the emotional reactions of others.
  1. Able to understand others' points of view.
  1. Is able to manage their own emotions.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Is able to control their own emotions.


Definite Strength Meets Standards Needs Development N/A
  1. Effective in performing his/her job.
  1. Works effectively in the department.
  1. Effectively organizes resources and plans
  1. ...Produce Quality
  1. ...Overall Performance


Definite Strength Meets Standards Needs Development N/A
  1. Analyzes issues and reduces them to their component parts.
  1. Balances risks and costs with the rewards and probabilities of success when decisions.
  1. Asks the "right" questions to size up or evaluate situations.
  1. Selects the appropriate techniques for analysis.
  1. Identifies problems and issues needing resolution.


Definite Strength Meets Standards Needs Development N/A
  1. Seeks to reduce ambiguity in messaging and documents.
  1. Makes sure employees understand why they were given certain assignments.
  1. Is clear about the roles and duties of team members.
  1. Clearly explains responsibilities to individuals.
  1. Maintains clarity in goals and objectives.

Interpersonal Skills

Definite Strength Meets Standards Needs Development N/A
  1. Anticipates the concerns of other employees.
  1. Uses tact, compassion, and sensitivity in interactions with others.
  1. Adapts management style to meet the needs of the individual or situation.
  1. Is trusted by peers and co-workers; others are willing to confide in him/her
  1. Creates an atmosphere that supports the open expression of ideas

Customer Focus

Definite Strength Meets Standards Needs Development N/A
  1. Develops strong customer relationships.
  1. Does not hesitate to address customer concerns or complaints.
  1. Maintains positive customer relationships.
  1. Ensures all customer commitments and requirements are met or exceeded.
  1. Consistently models positive customer service attitudes.

Conflict Management

Definite Strength Meets Standards Needs Development N/A
  1. Clearly expresses expectations to others.
  1. Assists team members by helping them see the other point of view.
  1. Helps employees to think through alternative ways to resolve conflict situations.
  1. Discusses conflict situations with supervisor.
  1. Deals effectively with employee grievances.

  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.