Continual Improvement - 360 Degree Feedback Survey Sample #12

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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Continuous Improvement

• Translates technical concepts into practical guidance that helps teams improve processes and equipment performance.
• Maximizes machine throughput.
• Diagnoses performance issues by interpreting technical data, trends, and system behavior to pinpoint root causes.
• Strives to produce correct results the first time.
• Promotes employee involvement in continuous improvement efforts.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Attitude

• Builds and maintains positive relationships with peers.
• Volunteers for tasks or initiatives that stretch their skills, showing eagerness to contribute and grow.
• Maintains optimism by turning mistakes into actionable learning moments.
• Volunteers to represent the team in cross-functional or company-wide working groups.
• Encourages team members of the potential benefits of taking a bold step, even if success isn't guaranteed.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Delegation

• Effectively balances delegation and supervision in the department.
• Avoids always giving complex or high-visibility tasks to the same employees.
• Strategically delegates tasks that allow employees to excel in areas where they feel most inspired.
• Gathers feedback from the employee-how did they feel about the task?
• Ensures the employee has the necessary resources and training to succeed in the delegated tasks.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Administrative Skill

• Communicates schedule changes promptly and clearly so all parties remain aligned.
• Greets callers with a clear, professional introduction and verifies the purpose of the call before proceeding.
• Verifies numerical data, totals, and calculations in reports to ensure accuracy.
• Coordinates actions and activities with others.
• Gathers appropriate business information.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Technology Use/Management

• Applies complex rules and regulations to maintain optimal system performance.
• Selects appropriate technology solutions to meet the department needs.
• Supports employee training and development initiatives regarding implementation of technology.
• Maximizes the use of new technology to deliver products and services.
• Uses technology in decision making and problem solving.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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