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.

Edit this Survey

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Continuous Improvement

What does Continuous Improvement mean?
It means that ...

• I view continual improvement as a vital ingredient in the organization's survival.
• You source better suppliers for a more efficient supply chain.
• I enable employees to independently identify and implement improvements.
• You generate and implement effective improvement plans.
• I ensure improvement plans consider cross-functional impacts, dependencies, and constraints.

To what extent does this person exhibit Continuous 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 ...

• I intervene respectfully when witnessing culturally insensitive behavior or language.
• You seek feedback from employees of different backgrounds to improve team inclusivity.
• You engage with individuals that have different cultural backgrounds.
• You encourage a work environment where individual differences are valued.
• I develop skills and attitudes to bridge cultural differences.

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 require employees to participate in additional job training as part of a remediation program.
• I make sure the team's goals are met.
• You inform the employee of the required sales/production targets.
• I ensure team members receive rewards for positive performance accomplishments.
• You implement remediation plans with follow up after 3 months.

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 break down larger goals into smaller, manageable milestones with their own timelines.
• I adjust timelines, expectations, or resource allocations when new goals emerge or existing goals shift.
• I understand the unique strengths and needs of each individual to create an environment that optimizes the achievement of shared goals.
• I evaluate the availability of resources, including time, money, equipment, and personnel, to establish the priority of goals.
• I foster a collaborative and supportive environment where everyone feels valued and empowered to contribute their best efforts.

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 review historical compliance reports to identify trends and refine reporting methodologies.
• I conduct necessary risk assessments.
• I coordinate with legal counsel in conducting audits of legal compliance.
• You understand the applicable regulations and laws that impact our business.
• You offer training to employees to ensure they are complying with regulations.

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.