Performance - 360 Degree Feedback Survey Sample #10





360 Feedback Survey

Questionnaires Measuring Performance:
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)
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.

Sample Result Document:
Sample Results
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

  • ...Overall Performance
  • Works effectively in the department.
  • Works well in this position.
  • ...Produce Quality
  • Has great overall performance
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?

Initiative

  • Takes advantage of opportunities when they become available.
  • Immediately works to complete goals well before their deadline.
  • Takes on extra projects after required work is completed.
  • Acts quickly when a small problem arises to keep it from becoming a major issue.
  • Begins immediate action on projects.
If [Participant Name] were to make improvements in Initiative, what are your suggestions for how he/she can improve this?

Business Acumen

  • Calculates return on investment (ROI) for various business projects.
  • Can effectively interpret and analyze market data.
  • Keeps informed of current income and expenses.
  • Develops business plans that are forward looking.
  • Collects valuable customer insights to ensure our services meet their needs.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

Customer Focus

  • Consistently meets customer's needs.
  • Engages with customers on multiple levels.
  • Provides excellent service to customers.
  • Identifies opportunities that will enhance the customer's experience.
  • Effectively troubleshoots customer issues.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?

Emotional Intelligence

  • Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  • 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.
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].






Strengths


Areas for Development


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