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

• Shown significant improvement in job performance.
• ...Produce Quality
• Listens and responds to issues and problems
• ...Overall Performance
• Effective in performing his/her job.

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

Comments:

Punctuality

• Conducts appointments at scheduled start time.
• Maintains an efficient schedule of activities.
• Starts meetings on time.
• 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

• Builds strong interpersonal relationships upon first meeting.
• Begins immediate action on projects.
• Able to initiate work on projects independently without direct supervision.
• Immediately works on solving problems.
• Prepares for unexpected contingencies.

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

Comments:

Business Acumen

• Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
• Understands complex issues and problems.
• Considers impact of actions on other areas of the organization.
• Calculates return on investment (ROI) for various business projects.
• Periodically assesses the current market environment.

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

Comments:

Entrepreneurship

• Devotes a certain amount of time and effort to developing new business opportunities.
• Maintains a high level of energy to respond to demands of the job.
• Encourages dynamic growth opportunities.
• Finds unique ways to go around barriers to success.
• 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.