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

• Impresses upon others the important aspects of [Company].
• Understands the use of [Company] products and services.
• Understands how decisions impact other business units beyond their immediate department of work group.
• Attends [Company] gatherings and social events.
• Follows existing procedures and processes.

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

Comments:

Persuasion and Influence

• Able to express own goals and needs.
• Attempts to persuade others rather than simply control them.
• Understanding what others need.
• Has excellent influencing/negotiating skills.
• Develops a good rapport with others.

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

Comments:

Initiative

• Acts quickly to address any issues or problems.
• Confronts problems immediately without supervisor instructions.
• Initiates important conversation topics at meetings.
• Acts quickly when a small problem arises to keep it from becoming a major issue.
• When working on a problem in a team, they are often the first to suggest possible solutions.

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

Comments:

Excellence

• Takes a lot of pride in their work.
• Is planful and organized.
• Can be counted on to add value wherever they are involved.
• Demonstrates the functional or technical skills necessary to do their job.
• 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

• Considers the other individual's point of view.
• Assists those in the department who need help in meeting performance metrics.
• Values the input from coworkers.
• Is trusted by peers and co-workers; others are willing to confide in him/her
• 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.