Performance - 360 Degree Feedback Survey Sample #12

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.

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

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

Performance

• Has great overall performance
• ...Produce Quality
• Works effectively in the department.
• ...Overall Performance
• Able to organize work.

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

Comments:

Punctuality

• Conducts appointments at scheduled start time.
• Invoices clients on a timely basis.
• Maintains an efficient schedule of activities.
• Responds to requests for information in a timely manner.
• Starts meetings on time.

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

Comments:

Initiative

• Actively works on resolving the issue instead of procrastinating or hoping it will resolve itself.
• Initiates actions that impact the department/company.
• Completes tasks without having to be told to do so.
• Looks for opportunities to move projects forward.
• Builds strong interpersonal relationships upon first meeting.

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

Comments:

Business Acumen

• Anticipates marketplace opportunities and supports speed to market.
• Understands financial terminology, statements.
• Able to align resources to meet the business needs of the company.
• Applies the knowledge of work processes to influence the achievement of business goals
• Can effectively interpret and analyze data.

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

Comments:

Entrepreneurship

• Can work effectively in an environment of uncertainty.
• Seeks and utilizes mentors to help guide professional development.
• Encourages risk taking for developing potential business opportunities.
• Encourages dynamic growth opportunities.
• Exhibits determination and passion in completion of goals.

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.