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.
• Expresses loyalty and dedication to [Company] in interactions with others.
• Attends [Company] gatherings and social events.
• Follows existing procedures and processes.
• Understands the use of [Company] products and services.

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

Comments:

Persuasion and Influence

• Persuades others to consider alternative points of view.
• Able to express own goals and needs.
• Has excellent influencing/negotiating skills.
• Develops a good rapport with others.
• Ensures stakeholders are involved in the decision making process.

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

Comments:

Initiative

• Prepares for unexpected contingencies.
• Goes above and beyond the stated goals.
• Takes the initiative to change the direction or course of events.
• Takes action without being asked.
• Seeks and utilizes opportunities for continuous learning and self-development.

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

Comments:

Excellence

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

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

Comments:

Interpersonal Skills

• Successfully resolves conflicts and grievances to a win-win solution.
• Uses knowledge and charisma rather than position, power, or coercion to influence others
• Values the opinions of others.
• Strives for win/win solutions
• Able to work with individuals at all levels of the Company.

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.