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.

Continual Improvement

• Looks for ways to improve work processes and procedures.
• Open to the suggestions from others.
• Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
• Analyzes processes to determine areas for improvement.
• Looks for ways to expand current job responsibilities.

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

Comments:

Attitude

• Contributes to a positive and fun work environment.
• Treats all people fairly and with respect.
• Contributes to a positive work environment.
• Visibly supports and encourages diversity in style and background.
• 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

• Clearly defines duties and tasks to be completed.
• Allows subordinates to use their own methods and procedures.
• Sets clear and reasonable expectations for others and follows through on their progress.
• Allows employees to decide how they wish to complete the tasks.
• 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

• Able to develop, justify and present a budget.
• High attention to detail.
• Takes responsibility for decisions.
• Strong organizational skills to keep the workspace and department in order
• Completes reports on-time.

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

Comments:

Technology Use/Management

• Understands and is committed to implementing new technologies.
• Applies complex rules and regulations to maintain optimal system performance.
• Supports employee training and development initiatives regarding implementation of technology.
• Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
• Proficient in the use of technical systems and processes.

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.