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

• Effective in performing his/her job.
• Has great overall performance
• ...Produce Quality
• ...Overall Performance
• Works effectively in the department.

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

Initiative

• Takes corrective action to rectify issues.
• Looks for opportunities to move projects forward.
• Quickly comes to the aid of those who may need help.
• Takes corrective action to address performance deficiencies/issues.
• Immediately works to complete goals well before their deadline.

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

Business Acumen

• Identifies potential regulatory risks and strategies to mitigate them.
• Periodically assesses the current market environment.
• Interprets data to make informed business decisions.
• Applies the knowledge of work processes to influence the achievement of business goals
• Understands cash flow procedures and statements.

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

Customer Focus

• Is committed to the success of the customer.
• Anticipates customer needs.
• Delivers customized solutions for each customer.
• Maintains strong relationships with customers.
• Sets an example for excellent customer relations.

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

Emotional Intelligence

• Accurately perceives the emotional reactions of others.
• Is able to control their own emotions.
• Is able to manage their own emotions.
• Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
• Is able to express themselves clearly.

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.