Performance - 360 Degree Feedback Survey Sample #10

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.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

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Performance

• Demonstrates consistent effort regardless of external pressures.
• Shows persistence and determination when progress is slow or obstacles arise.
• Implements new safeguards, processes, or habits to reduce the likelihood of repeating mistakes.
• Keeps commitments even when conditions become difficult.
• Consistently delivers high-quality work regardless of challenges.

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

Initiative

• Looks to start work on new projects without waiting for direction from the manager.
• Helps the department take the initiative to create new solutions.
• Does the right thing without being told.
• Keeps momentum during slow periods by identifying meaningful tasks to advance, rather than waiting for new assignments.
• Champions under-supported ideas by building coalitions or reframing proposals to gain traction.

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

Business Acumen

• Seeks to better understand other areas of the company, including their operations, personnel, and output.
• Applies the knowledge of work processes to influence the achievement of business goals
• Works cooperatively with others to implement business changes.
• Rewards risky ideas that may yield significant benefits to the business.
• Able to decipher complex data making it easier to generate new insights.

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

Customer Focus

• Effectively troubleshoots customer issues.
• Seeks feedback from customers to improve service and demonstrate care for their experience.
• Responsive to customer needs.
• Provides a responsive service that meets the needs of customers.
• Shows new team members what a positive customer service attitude looks like.

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

Emotional Intelligence

• Is attentive to emotional cues and interprets others' feelings correctly.
• Accurately perceives the emotional reactions of others.
• Is able to control their own emotions.
• Is able to manage their own emotions.
• Able to understand others' points of view.

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.