Continual Improvement - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

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

• Promotes training and development opportunities to enhance job performance.
• Looks for ways to expand current job responsibilities.
• Analyzes processes to determine areas for improvement.
• Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
• Looks for ways to expand and learn new job skills.

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

Comments:

Attitude

• Contributes to a positive and fun work environment.
• Visibly supports and encourages diversity in style and background.
• Shows by their actions that they trust in the positive intentions of others.
• Treats all people fairly and with respect.
• Is gracious and professional in their interactions with others.

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

Comments:

Delegation

• Encourages and empowers subordinates to use initiative in achieving goals and objectives.
• Defines goals and objectives for subordinates.
• Tells subordinates what to do, not how to do it.
• Defines the roles, responsibilities, required actions, and deadlines for team members.
• Assigns tasks to create learning opportunities for the employees.

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

Comments:

Administrative Skill

• Enthusiastic about taking on challenging projects.
• High attention to detail.
• Accurately implements contract provisions.
• Has strong technical/computer skills.
• Able to develop, justify and present a budget.

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

Comments:

Technology Use/Management

• Proficient in the use of technical systems and processes.
• Understands and is committed to implementing new technologies.
• Maximizes the use of new technology to deliver products and services.
• Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
• Adopts the implementation of new technology into the workplace.

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.