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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Continual Improvement

• Looks for ways to expand current job responsibilities.
• Promotes training and development opportunities to enhance job performance.
• Analyzes processes to determine areas for improvement.
• Encourages an employee culture of continuous improvement to seek out better ways of doing things.
• Searches for new methods, techniques, and processes that increase efficiency and reduce costs.

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

Comments:

Attitude

• Shows by their actions that they trust in the positive intentions of others.
• Visibly supports and encourages diversity in style and background.
• Is gracious and professional in their interactions with others.
• Builds open and trusting relationships.
• Contributes to a positive work environment.

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

Comments:

Delegation

• Allows subordinates to use their own methods and procedures.
• Defines goals and objectives for subordinates.
• Entrusts subordinates with important tasks.
• Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
• Delegates authority and responsibility to subordinates and holds them accountable for their actions.

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

Comments:

Administrative Skill

• High attention to detail.
• Has strong technical/computer skills.
• Accurately implements contract provisions.
• Completes reports on-time.
• Implements and uses performance measures.

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

Comments:

Technology Use/Management

• Adopts the implementation of new technology into the workplace.
• Understands and is committed to implementing new technologies.
• Uses technology in decision making and problem solving.
• Applies complex rules and regulations to maintain optimal system performance.
• Identifies gaps between actual and needed technical competencies and provides recommendations for required training.

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.