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

• Follows existing procedures and processes.
• Understands the use of [Company] products and services.
• Attends [Company] gatherings and social events.
• Expresses loyalty and dedication to [Company] in interactions with others.
• Impresses upon others the important aspects of [Company].

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.
• Facilitates change with minimal resistance.
• Inspires others to accept changes.
• Effective in implementing new organizational vision and values.
• Inspires others to want to change.

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

Technical

• Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
• Seeks information from others as needed.
• Knows how to produce high quality products/work.
• Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
• Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.

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

Safety

• Seeks to reduce the likelihood of accidents.
• Develops safety guidelines for the department.
• Encourages others to attend safety training.
• Encourages others to work safely.
• Supports safety programs and procedures.

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

Teamwork

• Creates opportunities to learn with other team members
• Fosters an environment that promotes active listening on the team.
• Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
• Listens to the opinions of other team members.
• Fosters respect and understanding among team members

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.