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

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

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

Comments:

Persuasion and Influence

• Attempts to persuade others rather than simply control them.
• Persuades others to consider alternative points of view.
• Communicates effectively with others.
• Able to express own goals and needs.
• Understanding what others need.

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

Comments:

Initiative

• Takes corrective action to address performance deficiencies/issues.
• Does things without being told.
• Guides strategic initiatives to advance the department/organization.
• When working on a problem in a team, they are often the first to suggest possible solutions.
• Takes the initiative to complete tasks ahead of schedule.

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

Comments:

Excellence

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

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

Comments:

Interpersonal Skills

• Creates an atmosphere that supports the open expression of ideas
• Works diligently to assist customers in finding the right products.
• Comes across as credible, knowledgeable and sincere
• Builds a strong rapport with co-workers.
• Is open and approachable

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.