Company- 360 Degree Feedback Survey Sample #12

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Company

• Attends [Company] gatherings and social events.
• Impresses upon others the important aspects of [Company].
• Understands the use of [Company] products and services.
• Understands the "basics" as to how [Company] functions/operates.
• Follows existing procedures and processes.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Persuasion and Influence

• Develops a good rapport with others.
• Attempts to persuade others rather than simply control them.
• Seeks to obtain consensus or compromise.
• Ensures stakeholders are involved in the decision making process.
• Has excellent influencing/negotiating skills.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Initiative

• Is proactive and gets things done.
• Is a self-starter. Does not wait to be told to do something.
• Initiates draft reports for consideration.
• Encourages others on the team to suggest process improvements.
• Takes the initiative to solve pressing issues.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Excellence

• Demonstrates the functional or technical skills necessary to do their job.
• Demonstrates the analytical skills to do their job.
• Takes a lot of pride in their work.
• Is planful and organized.
• Keeps themselves and others focused on constant improvement.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Interpersonal Skills

• Expresses appreciation of other's work.
• Provides constructive feedback in a way that fosters acceptance and development.
• Is a role model for others
• Is trusted by peers and co-workers; others are willing to confide in him/her
• Builds a strong rapport with co-workers.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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