Continual Improvement - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

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Continuous Improvement

• Employs data-driven experimental methods to determine the best operating conditions.
• Strives to achieve best-practice standards in all work processes.
• Enables employees to independently identify and implement improvements.
• Collaborates with upstream and downstream partners to optimize end-to-end workflow performance.
• Encourages and supports the use of Six Sigma tools to improve production quality.

If [Participant Name] were to make improvements in Continuous Improvement, what are your suggestions for how he/she can improve this?

Persuasion and Influence

• Constructs well-reasoned arguments that balance logic, evidence, and empathy to influence outcomes
• Stands firm on principles, even when under pressure to compromise for short-term gain.
• Builds coalitions by enrolling influential voices in shaping and communicating the vision.
• Objectively presents multiple viewpoints before guiding others toward a well-supported conclusion.
• Has excellent influencing/negotiating skills.

If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?

Delegation

• Understands what their employees are good at and what they would be eager to do.
• Avoids always giving complex or high-visibility tasks to the same employees.
• Demonstrates confidence in employees' capabilities by granting appropriate decision-making authority.
• Facilitates access to support and resources that enable delegated tasks to deliver strategic value.
• Assigns challenging responsibilities to boost employee professional development while maintaining engagement.

If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?

Decision Making

• Gathers information before making a decision.
• Receptive to new ideas from others when making decisions.
• Decides which long-term goals should be met.
• Does not lose sight of the big picture when making decisions
• Evaluates both immediate outcomes and future effects to ensure sustainable choices.

If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?

Responsible

• Sets a good example
• ...takes personal responsibility for results.
• Behavior is ethical and honest.
• Sets high personal standards of performance.
• Is a person you can trust.

If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?

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

5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

Strengths


Areas for Development


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