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

• Effective in selecting and retaining high performing employees.
• Maintains high ethical standards.
• Able to develop average employees into high performing employees.
• Avoids getting involved in office politics.
• Expects employees to proactively identify problems and propose solutions.

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

Comments:

Establishing Focus/Direction

• Analyzes metrics such as project completion rates, quality of work, or customer satisfaction scores.
• Encourages employees to focus on getting results now.
• Articulates the objectives in clear, measurable terms so that every team member understands what success looks like.
• Implements metrics that reflect both output and impact, tailored to team goals.
• Uses performance data to reinforce expectations and guide improvement.

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

Comments:

Persuasion and Influence

• Makes effective arguments.
• Successfully wields influence over others.
• Is an excellent spokesperson for the department/company.
• Is a high performance salesperson.
• Cultivates advocates for the project to help spread the word through their peers.

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

Comments:

Safety

• Develops a culture of safety.
• Encourages others to work safely.
• Develops a sustainable safety culture.
• Participates in safety training when offered.
• Identifies and addresses safety needs.

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

Comments:

Global Perspective

• Is aware of the culture, behaviors, identities and beliefs of others.
• Demonstrates a curiosity about diverse individuals and cultures.
• Sets the example for team on importance of cultural awareness.
• Exemplifies the skills of a global worker.
• Able to listen and understand others and discuss issues in a respectful way.

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.