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.

Co-worker Development

• Sets and clearly communicates expectations, performance goals, and measurements to others
• Gives others development opportunities through project assignments and increased job responsibilities
• Provides ongoing feedback to co-workers on their development progress
• Adapts coaching and mentoring approach to meet the style or needs of individuals
• Works to identify root causes of performance problems

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

Comments:

Emotional Intelligence

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

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

Comments:

Quality

• Creates effective policies regarding quality of services and products.
• Identifies strategies and their associated risks to improve quality.
• Implements quality control feedback loops to enhance services and products.
• Assists quality control inspectors.
• Adopts and implements best practices when it comes to quality procedures.

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

Comments:

Achievement

• Successfully completed the orientation training program.
• Follows-up and takes action when goals are not met to ensure better results in the future.
• Inspires others to work with a sense of urgency.
• Helps others to improve or meet standards of performance.
• Successfully launched the ABC project.

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

Comments:

Trustworthy

• Builds and maintains the trust of others.
• Communicates an understanding of the other person's interests, needs and concerns.
• Works in a way that makes others want to work with her/him.
• Delivers on promises made.
• Is trustworthy; is someone I can trust.

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.