Leadership - 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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Leadership

• Able to influence others.
• Demonstrates leadership and courage in critical situations.
• 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.
• Gives direct, constructive, and actionable feedback.
• Motivates others to reach and exceed organizational goals and objectives.

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

Comments:

Establishing Focus/Direction

• Helps guide employees with prioritizing tasks.
• Makes sure that employees understand and identify with the team's mission.
• Makes sure that employees understand how their work relates to organizational goals.
• Functions well under stress, deadlines, and/or significant workloads.
• Maintains self-control when personally criticized.

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

Comments:

Persuasion and Influence

• Ensures stakeholders are involved in the decision making process.
• Seeks to obtain consensus or compromise.
• Has excellent influencing/negotiating skills.
• Understanding what others need.
• Able to express own goals and needs.

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

Comments:

Safety

• Participates in safety training when available.
• Committed to safety in the workplace.
• Develops a sustainable safety culture.
• Participates in safety training as applicable.
• Develops a culture of safety.

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

Comments:

Global Perspective

• Attends training seminars and conferences to increase skills in working with others globally.
• Engages in problem solving with individuals outside of the country.
• Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
• Has positive interactions with individuals from different cultures and backgrounds.
• Respects individual differences.

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.