Performance - 360 Degree Feedback Survey Sample #12

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.

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.

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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Performance

• Effectively organizes resources and plans
• Able to organize work.
• Sets a high standard for job performance.
• Effective in performing his/her job.
• ...Produce Quality

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Punctuality

• Arrives to meetings on time.
• Starts the workday when scheduled.
• Maintains an efficient schedule of activities.
• Starts meetings on time.
• Invoices clients on a timely basis.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Initiative

• Will continue to work on a problem even in the face of obstacles.
• Encourages others on the team to suggest process improvements.
• Anticipates problems and initiates plans to address them.
• Seeks and utilizes opportunities for continuous learning and self-development.
• Informs the manager of any important changes in the equipment operation.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Business Acumen

• Responds quickly to customer business inquiries.
• Gathers essential customer data to align our products with their expectations.
• Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
• Recognizes the individual needs of customers.
• Works cooperatively with others to implement business changes.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Entrepreneurship

• Seeks and utilizes mentors to help guide professional development.
• Takes the initiative to complete tasks.
• Exhibits determination and passion in completion of goals.
• Finds unique ways to go around barriers to success.
• Can work effectively in an environment of uncertainty.

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.