Continual Improvement - 360 Degree Feedback Survey Sample #11

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.

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.

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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 analyze processes to determine areas for improvement.
• You look for ways to expand and learn new job skills.
• You are open to the suggestions from others.
• You look for ways to improve work processes and procedures.

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Cultural Awareness

What does Cultural Awareness mean?
It means that ...

• You seek out different viewpoints and benefits from different perspectives.
• I am responsive to individuals from other cultures.
• I seek to reduce obstacles in communication that might arise from cultural differences.
• I value the diverse perspectives from others.
• You engage with individuals that have different cultural backgrounds.

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Managing Performance

What does Managing Performance mean?
It means that ...

• You present performance feedback in a clear and concise manner to address performance issues.
• You use timely and appropriate corrective/disciplinary actions.
• You require employees to participate in additional job training as part of a remediation program.
• Initiates probationary actions for employees with sub-par performance.
• You align individual and team goals with the organization's goals and objectives.

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Goals

What does Goals mean?
It means that ...

• You understand and contribute to development of strategic goals.
• You achieve established goals.
• You achieve goals.
• You make sure that I have a clear idea of our group's goals.
• You conduct timely follow-up; keeps others informed on a need to know basis.

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Regulatory/Compliance

What does Regulatory/Compliance mean?
It means that ...

• You are professional and courteous in interactions with auditors and regulators.
• You offer training on various subjects to help ensure employees are aware of regulations.
• I perform annual/monthly compliance audits.
• You maintain compliance with federal, state, and local laws.
• You are aware of federal and local laws affecting employees.

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

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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