Excellence - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

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.

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.

Excellence

• Produces high quality work.
• Is planful and organized.
• Demonstrates the functional or technical skills necessary to do their job.
• Takes a lot of pride in their work.
• Demonstrates the analytical skills to do their job.

If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Flexibility

• Willing to try new ideas.
• Works effectively during periods of change.
• Is open to alternative ways to accomplish goals
• Can handle changes without complaining.
• Acts decisively in frequently changing and uncertain environment.

If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?

Leadership

• Expresses clear goals and objectives.
• Acts decisively in implementing decisions.
• Gives direct, constructive, and actionable feedback.
• Provides resources to enable individuals to develop professionally.
• Holds others accountable for their actions.

If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?

Administrative Skill

• Enthusiastic about taking on challenging projects.
• Implements and uses performance measures.
• Accurately implements contract provisions.
• Able to develop, justify and present a budget.
• Takes responsibility for decisions.

If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?

Customer Focus

• Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
• Engages with customers on multiple levels.
• Tailors innovative products for each customer.
• Makes sure customer needs are understood by the team members.
• Is committed to the customer's success.

If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?

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

5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

Strengths


Areas for Development


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