Coworker Development - 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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Co-worker Development

• Takes immediate action on poor performance
• Adapts coaching and mentoring approach to meet the style or needs of individuals
• Gives others development opportunities through project assignments and increased job responsibilities
• Works to identify root causes of performance problems
• Provides ongoing feedback to co-workers on their development progress

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

Comments:

Emotional Intelligence

• Able to understand others' points of view.
• Is attentive to emotional cues and interprets others' feelings correctly.
• Accurately perceives the emotional reactions of others.
• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Helps to make decisions and solve problems using knowledge about how others will react in certain situations.

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

Comments:

Quality

• Able to create quality initiatives to be implemented organization-wide.
• Adjusts processes or procedures to improve quality results.
• Identifies appropriate sources of quality standards.
• Communicates with team members regarding best quality practices.
• Sets high benchmarks for employees to achieve.

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

Comments:

Achievement

• Maintains a disciplined and strategic approach to goal achievement, ensuring efficiency and effectiveness.
• Adheres to established guidelines and best practices to drive consistent, high-quality performance.
• Pushes boundaries with ambitious goals that foster growth and innovation.
• Leads with structure, ensuring good execution of initiatives and alignment with organizational objectives.
• Follows-up and takes action when goals are not met to ensure better results in the future.

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

Comments:

Trustworthy

• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
• Takes ownership, delivers on commitments
• Communicates an understanding of the other person's interests, needs and concerns.
• Is a person you can trust.
• Consistently keeps commitments.

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.