Company- 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

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.

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.

Company

• Understands the "basics" as to how [Company] functions/operates.
• Attends [Company] gatherings and social events.
• Follows existing procedures and processes.
• Expresses loyalty and dedication to [Company] in interactions with others.
• Understands how decisions impact other business units beyond their immediate department of work group.

If [Participant Name] were to make improvements in Company, what are your suggestions for how he/she can improve this?

Change Management

• Develops plans for following through on the changes.
• Supports the Company's efforts to implement changes.
• Able to get department employees to accept new changes.
• Inspires others to want to change.
• Assists others in understanding changes to the organization.

If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?

Technical

• Willingly shares his/her technical expertise; sought out as resource by others
• Is knowledgeable of procedures or systems necessary for the job.
• Seeks information from others as needed.
• Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
• Willingly shares information and expertise; sought out as resource by others

If [Participant Name] were to make improvements in Technical, what are your suggestions for how he/she can improve this?

Safety

• Develops a culture of safety.
• Supports our company's safety programs.
• Creates accurate and effective measures of safety.
• Identifies and addresses safety needs.
• Participates in safety training when offered.

If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?

Teamwork

• Actively participates as a team member
• Takes the time to actively listen to other team member's perspectives.
• Contributes to and supports team decision-making process
• Listens to the opinions of other team members.
• Is open to new ideas that may change own goals for benefit of the team

If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?

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

5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

Strengths


Areas for Development


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