Continual Improvement - 360 Degree Feedback Survey Sample #11

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.

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.

Continual Improvement

What does Continual Improvement mean?
It means that ...
  • You search for new methods, techniques, and processes that increase efficiency and reduce costs.
  • You promote training and development opportunities to enhance job performance.
  • You look for ways to expand and learn new job skills.
  • You encourage an employee culture of continuous improvement to seek out better ways of doing things.
  • You analyze processes to determine areas for improvement.

To what extent does this person exhibit Continual Improvement?
Select from one of the ratings below.

Cultural Awareness

What does Cultural Awareness mean?
It means that ...
  • You recognize and value individual and cultural differences.
  • You treat others with dignity and respect.
  • You respect others regardless of age, race, gender, nationality, or disability.
  • You seek out different viewpoints and benefits from different perspectives.
  • You maintain an inclusive work environment that maximizes the talents of others in achieving goals.

To what extent does this person exhibit Cultural Awareness?
Select from one of the ratings below.

Managing Performance

What does Managing Performance mean?
It means that ...
  • You address grievances sooner rather than later.
  • You review job performance shortly after completion of tasks.
  • You prioritize the work of others.
  • You measure performance against goals and objectives.
  • You make sure commitments are understood and met.

To what extent does this person exhibit Managing Performance?
Select from one of the ratings below.


What does Goals mean?
It means that ...
  • You achieve goals.
  • You conduct timely follow-up; keeps others informed on a need to know basis.
  • You achieve established goals.
  • You set challenging stretch goals
  • You make sure that team members have a clear idea of our group's goals.

To what extent does this person exhibit Goals?
Select from one of the ratings below.


What does Regulatory/Compliance mean?
It means that ...
  • You maintain a state of readiness to address new and changing regulations and procedures.
  • You keep informed of various regulations and procedures.
  • You ensure regulations are followed as required.
  • You explain regulations and procedures to others as required.
  • You understand the applicable regulations and laws that impact our business.

To what extent does this person exhibit Regulatory/Compliance?
Select from one of the ratings below.

Areas for Development

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