Continual Improvement - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Questionnaires Measuring Continual Improvement:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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.

Sample Result Document:
Sample Results
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.

Continual Improvement

Definite Strength Meets Standards Needs Development N/A
  1. Looks for ways to improve work processes and procedures.
  1. Looks for ways to expand and learn new job skills.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Analyzes processes to determine areas for improvement.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.


Definite Strength Meets Standards Needs Development N/A
  1. Actively seeks feedback from others.
  1. Considers other's opinion and suggestions.
  1. Is visible and approachable.
  1. Asks others for their ideas and opinions.
  1. Seeks feedback to enhance performance.


Definite Strength Meets Standards Needs Development N/A
  1. Keeps supervisor informed of recent events.
  1. Defines roles, rights, and responsibilities of the team.
  1. Develops goals and establishes objective measures of success.
  1. Tackles issues head on and finds solutions.
  1. Acts like an owner when they make decisions.


Definite Strength Meets Standards Needs Development N/A
  1. Demonstrates honesty and truthfulness at all times.
  1. Fosters an environment built upon trust.
  1. Develops trust and confidence from others.
  1. Maintains strong relationships with others.
  1. Accepts responsibility for mistakes.

Emotional Intelligence

Definite Strength Meets Standards Needs Development N/A
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Accurately perceives the emotional reactions of others.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Able to understand others' points of view.

Project Management

Definite Strength Meets Standards Needs Development N/A
  1. Able to adjust project schedule as needed to accommodate unforeseen issues.
  1. Organizes, plans, and directs resources to accomplish the goals and objectives.
  1. Develops action items, workplans, timelines, and criteria for projects.
  1. Inspires others to accomplish goals and objectives.
  1. Develops performance measures for various aspects of the project.


Definite Strength Meets Standards Needs Development N/A
  1. Willingly shares information and expertise; sought out as resource by others
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Seeks information from others as needed.
  1. Demonstrates mastery of the technical competencies required in his/her work.


Definite Strength Meets Standards Needs Development N/A
  1. Develops a sustainable safety culture.
  1. Performs work safely.
  1. Is aware of OSHA safety guidelines.
  1. Keeps accurate safety records.
  1. Identifies predictable hazards in the workplace.


Definite Strength Meets Standards Needs Development N/A
  1. Addresses employee behavior problems effectively.
  1. Develops the skills and capabilities of others.
  1. Helps employees to maintain high personal standards.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.


Definite Strength Meets Standards Needs Development N/A
  1. Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
  1. Able to influence others to accept certain positions.
  1. Is able to decline bad ideas to avoid making poor decisions.
  1. Identifies verbal and nonverbal cues to help interpret actions and messages.
  1. Able to say "no" when it is essential to maintaining quality and high standards.


Definite Strength Meets Standards Needs Development N/A
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.
  1. Develops action plans to align his/her work with the goals of the organization
  1. Leads employees in new directions.
  1. Clearly articulates a vision for his/her work and inspires others to support it
  1. Communicates a vision of where the Company needs to be in the future.

  1. Overall, please rate the effectiveness of [Participant Name Here].

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.