Excellence - 360 Degree Feedback Survey Sample #12

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.

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.
• Is planful and organized.
• Can be counted on to add value wherever they are involved.
• Demonstrates the functional or technical skills necessary to do their job.
• Produces high quality work.

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

Comments:

Feedback

• Is visible and approachable.
• Seeks feedback to enhance performance.
• Actively seeks feedback from others.
• Shares past experiences with others as learning opportunities.
• Accepts the views of others.

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

Comments:

Leadership

• Motivates and challenges employees to attain a shared vision.
• Able to align manpower, design work, an allocate tasks to achieve goals.
• Provides resources to enable individuals to develop professionally.
• Acts decisively in implementing decisions.
• Highly effective supervisor.

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

Comments:

Quality

• Maintains detailed instructions to ensure consistency and quality in the production line.
• Always strives to produce the highest quality work products.
• Presents quality information and data in an easy to understand format.
• Able to anticipate quality issues and take preventative actions.
• Creates quality improvement programs and processes.

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

Comments:

Strategic Insight

• Develops a plan and strategy for each functional area within the mission statement.
• Strategically aligns projects to the goals of the company.
• Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
• Identifies potential problems before they become critical incidents.
• Creates a mission statement describing the purpose for the organization.

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.