Excellence - 360 Degree Feedback Survey Sample #12

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.

Excellence

• Keeps themselves and others focused on constant improvement.
• Demonstrates the functional or technical skills necessary to do their job.
• Demonstrates the analytical skills to do their job.
• Is planful and organized.
• Can be counted on to add value wherever they are involved.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Feedback

• Actively seeks feedback from others.
• Open to the suggestions of others.
• Looks to others for input.
• Considers other's opinion and suggestions.
• Shares past experiences with others as learning opportunities.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Leadership

• Motivates others to reach and exceed organizational goals and objectives.
• Gives direct, constructive, and actionable feedback.
• Holds others accountable for their actions.
• Leads team to set goals, solve problems, and accomplish tasks.
• 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.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Quality

• Develops and maintains quality control checklists for the manufacturing department.
• Leads the department in quality improvement initiatives.
• Views quality issues as a system failure rather than an individual failure.
• Engages and leads staff in implementation of new quality procedures.
• Systematically and thoroughly inspects products for consistency in meeting specifications.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strategic Insight

• Communicates with employees to find out their needs.
• Pursues strategic alliances with valued partners.
• Ensures that the department's goals are strategically aligned with the company's goals.
• Strategically aligns projects to the goals of the company.
• Maintains knowledge of current trends in the industry.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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