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

• Expresses loyalty and dedication to [Company] in interactions with others.
• Impresses upon others the important aspects of [Company].
• Attends [Company] gatherings and social events.
• 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

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

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

Comments:

Initiative

• Initiates projects that have an impact on the department.
• Acts quickly when a small problem arises to keep it from becoming a major issue.
• Guides strategic initiatives to advance the department/organization.
• Begins immediate action on projects.
• Inspires others to perform above expectations.

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

Comments:

Excellence

• Demonstrates the analytical skills to do their job.
• Can be counted on to add value wherever they are involved.
• Produces high quality work.
• Demonstrates the functional or technical skills necessary to do their job.
• 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

• Follows up on inquiries in a timely manner.
• Is honest about making mistakes and willing to fix them.
• Is trusted by peers and co-workers; others are willing to confide in him/her
• Is willing to lend a hand to those in the department who need help.
• Successfully resolves conflicts and grievances to a win-win solution.

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.