Performance - 360 Degree Feedback Survey Sample #12





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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


Performance

  • ...Produce Quality
  • Shown significant improvement in job performance.
  • Able to organize work.
  • Sets a high standard for job performance.
  • Listens and responds to issues and problems
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Punctuality

  • Avoids making personal phone calls during working hours.
  • Starts meetings on time.
  • Maintains an efficient schedule of activities.
  • Arrives to 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

  • Engages with new customers immediately.
  • Goes above and beyond the stated goals.
  • Initiates draft reports for consideration.
  • Immediately works to complete goals well before their deadline.
  • Anticipates problems and initiates plans to address them.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Business Acumen

  • Collects valuable customer insights to ensure our services meet their needs.
  • Understands our competitors and their strengths and weaknesses.
  • Identifies new business opportunities.
  • Maintains currency with laws, regulations, policies, procedures, trends, and developments.
  • Understands financial terminology, statements.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Entrepreneurship

  • Finds unique ways to go around barriers to success.
  • Understands the processes and various stages of business development.
  • Able to adapt the department to changing business demands and climate.
  • Has a strategic awareness on how to promote the organization.
  • Encourages risk taking for developing potential business opportunities.
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.