Company- 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

Edit this Survey

Would you like to edit this survey? Click here to begin.

Company

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

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

Comments:

Persuasion and Influence

• Communicates effectively with others.
• Ensures stakeholders are involved in the decision making process.
• Able to express own goals and needs.
• Seeks to obtain consensus or compromise.
• Attempts to persuade others rather than simply control them.

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

Comments:

Initiative

• When working on a problem in a team, they are often the first to suggest possible solutions.
• Takes the initiative to change the direction or course of events.
• Initiates new projects for the department.
• Takes charge when there is a crisis.
• Immediately informs the HR Department of any personnel complaints or issues.

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

Comments:

Excellence

• Takes a lot of pride in their work.
• Can be counted on to add value wherever they are involved.
• Keeps themselves and others focused on constant improvement.
• Produces high quality work.
• Demonstrates the analytical skills to do their job.

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

Comments:

Interpersonal Skills

• Is a highly respected individual in the company.
• Comes across as credible, knowledgeable and sincere
• Honesty and integrity are core tenets of interpersonal relationships.
• Demonstrates a high degree of ethics and integrity in the workplace.
• Recognizes when others do a good job.

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.