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.

Edit this Survey

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Excellence

• Keeps themselves and others focused on constant improvement.
• Can be counted on to add value wherever they are involved.
• Demonstrates the analytical skills to do their job.
• Produces high quality work.
• Is planful and organized.

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

Comments:

Feedback

• Considers other's opinion and suggestions.
• Asks others for their ideas and opinions.
• Seeks feedback to enhance performance.
• Looks to others for input.
• Actively seeks feedback from others.

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

Comments:

Leadership

• Provides resources to enable individuals to develop professionally.
• Sits down regularly with employees to review their job performance.
• Sets specific, measurable, and challenging goals.
• Sets a high level of performance expectations and challenges others to do the same.
• Leads team to set goals, solve problems, and accomplish tasks.

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

Comments:

Quality

• Makes sure cleanliness standards are met to reduce the possibility of contamination.
• Encourages employees to produce the best quality products.
• Addresses barriers to successfully implementing quality standards.
• Competently and accurately analyzes quality measures.
• Adjusts processes or procedures to improve quality results.

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

Comments:

Strategic Insight

• Adjusts strategic plans based on insights gathered from different points of view.
• Pursues strategic alliances with valued partners.
• Converses with customers and clients to get a better insight into their personal needs.
• Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
• Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.

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.