Continuous 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

Would you like to edit this survey? Click here to begin.

Continuous Improvement

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

• You encourage and support the use of Six Sigma tools to improve production quality.
• I conduct systematic experiments to refine and optimize process performance.
• I create durable, high-reliability workflows that perform well under stress.
• I collaborate with upstream and downstream partners to optimize end-to-end workflow performance.
• I translate technical concepts into practical guidance that helps teams improve processes and equipment performance.

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 ...

• You recognize how cultural context influences employee motivation, communication, and collaboration.
• You consistently acknowledge and validate the contributions of team members from all backgrounds.
• I promote continuous learning about customs, traditions, and workplace etiquette.
• I seek to reduce obstacles in communication that might arise from cultural differences.
• I am aware of differences in how individuals from other cultures greet one another.

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 reward employees for exceeding goals.
• I implement remediation plans that include specific performance goals in areas most in need of improvement.
• I set the Objectives and Key Results (OKRs) required for the position.
• I plan and set work expectations.
• You measure performance of goals and objectives.

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 recognize each person's strengths and needs to foster a collaborative environment for achieving shared goals.
• You successfully meet deadlines for achieving goals.
• I am aware of the criteria used to evaluate performance relative to goals.
• I support peers/others in accomplishing common goals.
• You maintain a clear overview of each goal's requirements and deadlines.

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 create and maintain necessary regulatory documentation.
• I develop a confidential reporting system to enable employees to anonymously report safety violations.
• You keep track of changes in legislation affecting regulatory compliance.
• I identify and assess areas of regulatory or compliance risk.
• I effectively communicate the importance of meeting compliance standards.

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.