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.

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Excellence

• Invests the effort needed to achieve exceptional project results.
• Improves ability to find patterns, connections, and trends in data.
• Reassesses progress toward goals as conditions change.
• Leverages professional relationships to achieve higher standards of excellence.
• Applies creative thinking to improve existing processes.

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

Comments:

Feedback

• Actively listens and considers input from others, regardless of whether the feedback is positive, negative or constructive.
• Designs growth strategies and action plans to tackle performance gaps and requirements, informed by feedback.
• Continuously evaluates work performance against established goals and standards, identifying areas where improvements can be made.
• Offers resources, tools, and regular check-ins to ensure employees stay on track and make meaningful progress during the feedback process.
• Fosters a culture of continuous improvement by embracing feedback from others.

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

Comments:

Leadership

• Has the trust and support of the Supervisor and district core teams
• Focuses team efforts on meeting the needs of the customers.
• Considers duty positions, capabilities, and developmental needs when assigning tasks.
• Can organize others.
• Clearly communicates the importance and thought process behind the company and area vision, thus inspiring others to work toward key objectives

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

Comments:

Quality

• Invests time in reviewing and refining work, even when deadlines are tight, to uphold excellence.
• Is preventative in dealing with quality issues.
• Systematically and thoroughly inspects products for consistency in meeting specifications.
• Analyzes quality improvement plans and initiatives.
• Corrects issues in a timely manner.

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

Comments:

Strategic Insight

• Leverages internal expertise and external partnerships to expand strategic capabilities.
• Understands how to strategically grow the business and increase customers.
• Anticipates business cycles and trends and makes adjustments in a timely manner.
• Demonstrates knowledge of organizational history, values, and long-term goals when making strategic recommendations.
• Strategically aligns projects to the goals of the company.

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.