Excellence - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Questionnaires Measuring Excellence:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Sample Result Document:
Sample Results
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.


Definite Strength Meets Standards Needs Development N/A
  1. Produces high quality work.
  1. Can be counted on to add value wherever they are involved.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Keeps themselves and others focused on constant improvement.
  1. Is planful and organized.


Definite Strength Meets Standards Needs Development N/A
  1. Implements and facilitates controls and processes that maintain the integrity of the organization.
  1. Develops goals and establishes objective measures of success.
  1. Holds team accountable to meeting goals.
  1. Acts like an owner when they make decisions.
  1. Tackles issues head on and finds solutions.

Continual Improvement

Definite Strength Meets Standards Needs Development N/A
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Looks for ways to expand current job responsibilities.
  1. Looks for ways to improve work processes and procedures.
  1. Open to the suggestions from others.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.


Definite Strength Meets Standards Needs Development N/A
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Entrusts subordinates with important tasks.
  1. Clearly defines duties and tasks to be completed.
  1. Allows employees to decide how they wish to complete the tasks.


Definite Strength Meets Standards Needs Development N/A
  1. Balances risks and costs with the rewards and probabilities of success when decisions.
  1. Implements data validation techniques and methods.
  1. Identifies opportunities for progress and innovation.
  1. Prioritizes various actions to be taken when solving a problem.
  1. Uses appropriate techniques to solve problems.


Definite Strength Meets Standards Needs Development N/A
  1. Achieves goals.
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Establishes and documents goals and objectives.
  1. Achieves established goals.
  1. Goal Setting


Definite Strength Meets Standards Needs Development N/A
  1. Knows how to produce high quality products/work.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Seeks information from others as needed.
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.


Definite Strength Meets Standards Needs Development N/A
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Builds and maintains the trust of others.
  1. Delivers on promises made.
  1. Is trustworthy; is someone I can trust.
  1. Demonstrates a sense of responsibility and commitment to public trust.


Definite Strength Meets Standards Needs Development N/A
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Addresses employee behavior problems effectively.
  1. Provides clear, motivating, and constructive feedback.

Strategic Insight

Definite Strength Meets Standards Needs Development N/A
  1. Analyzes unique issues or problems impacting the Company.
  1. Identifies root causes of problems.
  1. Anticipates business cycles and trends and makes adjustments in a timely manner.
  1. Analyzes records and reports to obtain insight into potential issues and trends.
  1. Maintains knowledge of current trends in the industry.

Organizational Fluency

Definite Strength Meets Standards Needs Development N/A
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Gets things done through the department.
  1. Adept at navigating within the culture of the department.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Anticipates problems that may affect the department.

  1. Overall, please rate the effectiveness of [Participant Name Here].

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.