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

• Keeps themselves and others focused on constant improvement.
• Takes a lot of pride in their work.
• Demonstrates the functional or technical skills necessary to do their job.
• Demonstrates the analytical skills to do their job.
• Produces high quality work.

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

Flexibility

• Identifies new opportunities to achieve goals
• Selects strategies according to the demands of the situation.
• Actively listens to others, considers their viewpoints, and incorporates these insights into the decision-making process.
• Permits flexible working and flex-time to accommodate employee needs to meet external obligations.
• Adapts to circumstances as needed.

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

Leadership

• Holds others accountable for their actions.
• Provides resources to enable individuals to develop professionally.
• Gives direct, constructive, and actionable feedback.
• Sets specific, measurable, and challenging goals.
• Guides decision-making by coaching, counseling and rewarding.

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

Administrative Skill

• Accurately implements contract provisions.
• Able to develop, justify and present a budget.
• High attention to detail.
• Completes reports on-time.
• Has strong technical/computer skills.

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

Customer Focus

• Creates innovative solutions to meet customer needs.
• Maintains up-to-date information regarding customer products.
• Creates innovative solutions for the customers.
• Actively listens to concerns from customers.
• Anticipates potential obstacles to meeting customer needs.

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.