Performance - 360 Degree Feedback Survey Sample #10

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.

Performance

• Works well in this position.
• ...Produce Quality
• Works effectively in the department.
• Listens and responds to issues and problems
• Sets a high standard for job performance.

If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?

Initiative

• Engages with new customers immediately.
• Analyzes the needs of the situation and acts before being told to do so.
• Inspires others to perform above expectations.
• Is a self-starter. Does not wait to be told to do something.
• Goes above and beyond the stated goals.

If [Participant Name] were to make improvements in Initiative, what are your suggestions for how he/she can improve this?

Business Acumen

• Applies the knowledge of work processes to influence the achievement of business goals
• Describes and summarizes data.
• Periodically assesses the current market environment.
• Can effectively interpret and analyze data.
• Considers impact of actions on other areas of the organization.

If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

Customer Focus

• Anticipates resources needed to meet the customer needs.
• Fulfills commitments made to customers.
• Adapts to changing customer needs.
• Delivers on commitments made to customers.
• Exceeds expectations of the customers.

If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?

Emotional Intelligence

• Is able to manage their own emotions.
• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Is attentive to emotional cues and interprets others' feelings correctly.
• Is able to control their own emotions.
• Accurately perceives the emotional reactions of others.

If [Participant Name] were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?

Overall, please rate the effectiveness of [Participant Name Here].

5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.