Employee Relations- 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.

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Employee Relations

What does Employee Relations mean?
It means that ...

• You foster an environment where employees try to be helpful to one another.
• You have monthly meetings to discuss and address issues in the workplace.
• I collaborate with facilities and safety teams to maintain clean, functional, and hazard-free workspaces.
• I treat employees fairly in the department.
• I provide guidance and support while allowing employees the freedom to execute tasks independently.

To what extent does this person exhibit Employee Relations?
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 maintain an inclusive work environment that maximizes the talents of others in achieving goals.
• I am effective in working with individuals with a variety of cultural backgrounds.
• You encourage a work environment where individual differences are valued.
• I participate in or facilitate cultural sensitivity training for self and team.
• I seek knowledge and information about other cultures.

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

Problem Solving

What does Problem Solving mean?
It means that ...

• I am adept at conducting an exhaustive Critical Incident interview.
• You understand the root causes of problems.
• I anticipate potential problems dealing with them in advance.
• I analyze the potential success of proposed solutions.
• You are open to the suggestions of others when working on a problem.

To what extent does this person exhibit Problem Solving?
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

Achievement

What does Achievement mean?
It means that ...

• You are driven to complete goals despite obstacles that may arise.
• You utilize performance data to adjust goals dynamically, ensuring continuous improvement.
• You accept setbacks and challenges as improvement opportunities
• You turn strategic goals into swift action.
• You work at a quick pace to complete a high volume of work.

To what extent does this person exhibit Achievement?
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

Customer Focus

What does Customer Focus mean?
It means that ...

• I treat every customer interaction as an opportunity to build trust and goodwill.
• You maintain positive customer relationships.
• You provide excellent service to customers.
• You are above average in addressing the needs of the customers.
• You make sure customer concerns are address without delay?

To what extent does this person exhibit Customer Focus?
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

Company

What does Company mean?
It means that ...

• You provide corporate trainers that are experts in their respective fields.
• I openly acknowledge mistakes and take accountability without deflect blame.
• I model ethical behavior in high-pressure situations and encourage others to do the same.
• I provide employees the space and tools need to stay focused.
• I make decisions that are guide by honesty and fairness.

To what extent does this person exhibit Company?
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

Planning

What does Planning mean?
It means that ...

• I plan for how to allocate time to specific activities.
• I set the appropriate sequence of tasks to ensure completion of the project.
• You ensure that everyone in the department is onboard with the current plan.
• I know how to create a timeline to specify when each phase of the project should be concluded.
• You anticipate obstacles and ways to overcome them.

To what extent does this person exhibit Planning?
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.