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.
• Understands how decisions impact other business units beyond their immediate department of work group.
• Understands the use of [Company] products and services.
• Follows existing procedures and processes.
• Attends [Company] gatherings and social events.

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

Change Management

• Facilitates change with minimal resistance.
• Is an inspiration for others to accept the recent changes.
• Adopts changes to set and example for others to follow.
• Assists others in understanding changes to the organization.
• 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

• Willingly shares his/her technical expertise; sought out as resource by others
• Willingly shares information and expertise; sought out as resource by others
• Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
• 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.
• Seeks information from others as needed.

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

Safety

• Works to implement corrective safety measures.
• Develops a strong safety culture.
• Encourages others to attend safety training.
• Encourages others to work safely.
• Performs work safely.

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

Teamwork

• Creates a culture that fosters and values collaboration.
• Builds consensus and shares relevant information.
• Is open to new ideas that may change own goals for benefit of the team
• Carries his/her share of the workload
• Coaches team members to work toward a common goal.

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.