Continuous 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

• Uses engineering judgment to anticipate potential failures and implement preventive improvements.
• Establishes high-performance standards aligned with global best practices.
• Maintains a commitment to continual improvement.
• Willingly gives advice to others.
• Strives to produce correct results the first time.

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

Comments:

Attitude

• Visibly supports and encourages others.
• Frames smart risk-taking as the best approach to solving problems.
• Promotes high ethical standards and values-driven work, reinforcing pride in doing what's right -- not just what's easy.
• Seeks feedback from others, including junior staff.
• Takes pride in the quality of work and seeks continuous improvement.

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

Comments:

Delegation

• Encourages employee self-assessment to better understand where preferred tasks and work styles would be most effective.
• Encourages employees to take on greater responsibilities.
• Determines each employee's readiness for new challenges based on past performance.
• Utilizes employees' unique strengths to enhance productivity and ensure high-quality outcomes.
• Sets expectations for communication and progress updates while respecting employees' working styles.

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

Comments:

Administrative Skill

• Allocates time intentionally by scheduling focused work periods, meetings, and follow-ups to avoid last-minute rushes.
• Efficiently evaluates the costs and benefits of potential actions to make well-informed decisions.
• Organizes documents in a visually appealing and consistent manner, following company standards or branding guidelines.
• Prepares and organizes presentations.
• Balances competing demands by negotiating deadlines or reallocating resources when necessary to maintain productivity.

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

Comments:

Technology Use/Management

• Adapts training to keep up to date with changes in technology.
• Uses technology in decision making and problem solving.
• 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.

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.