hr-survey.com

Others- 360 Degree Feedback Survey Sample #12





360 Feedback Survey

Assessments Measuring Others:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

Sample Result Document:
Sample Results
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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Others

  • Able to see issues from others' perspectives.
  • Works across boundaries within the organization.
  • Consistently demonstrates ability and willingness to trust others.
  • Treats others with respect and dignity.
  • Includes others in the decision making processes.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Emotional Intelligence

  • Is able to control their own emotions.
  • Is attentive to emotional cues and interprets others' feelings correctly.
  • Able to understand others' points of view.
  • Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  • Accurately perceives the emotional reactions of others.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Quality

  • Adopts and implements best practices when it comes to quality procedures.
  • Corrects issues in a timely manner.
  • Encourages others to achieve high quality standards.
  • Verifies the correct materials were used in the installation.
  • Promotes an environment that fosters quality and safety.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Achievement

  • Demonstrates improvement in performance.
  • Sets ambitious standards of performance.
  • Is results oriented.
  • Establishes stretch goals to advance skills and output.
  • Accepts setbacks and challenges as improvement opportunities
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Responsible

  • Responsible for setting the vision of the department.
  • Holds herself / himself accountable to goals / objectives
  • Acts as a resource without removing individual responsibility.
  • Is a person you can trust.
  • Sets high personal standards of performance.
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.