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

• Can be counted on to add value wherever they are involved.
• Takes a lot of pride in their work.
• Demonstrates the analytical skills to do their job.
• Produces high quality work.
• Is planful and organized.

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

Flexibility

• Encourages others to adopt new procedures.
• Able to adapt to new situations.
• Works effectively during periods of change.
• Acts decisively in frequently changing and uncertain environment.
• Identifies new opportunities to achieve goals

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

Leadership

• Motivates and challenges employees to attain a shared vision.
• Recognizes individual and team accomplishments and reward them appropriately.
• Sits down regularly with employees to review their job performance.
• Is a highly effective supervisor.
• Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.

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

Administrative Skill

• Strong organizational skills to keep the workspace and department in order
• Completes reports on-time.
• Able to develop, justify and present a budget.
• High attention to detail.
• Enthusiastic about taking on challenging projects.

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

Customer Focus

• Is committed to resolving customer issues in a positive way.
• Able to handle difficult customers.
• Prioritizes the needs and preferences of the customer.
• Makes sure team members understand the issues faced by the customer.
• Is above average in addressing the needs of the customers.

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.