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.

Performance

• Sets a high standard for job performance.
• ...Produce Quality
• Able to organize work.
• ...Overall Performance
• Has great overall performance

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

Comments:

Punctuality

• Invoices clients on a timely basis.
• Responds to requests for information in a timely manner.
• Arrives to meetings on time.
• Avoids making personal phone calls during working hours.
• Starts meetings on time.

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

Comments:

Initiative

• Acts quickly when a small problem arises to keep it from becoming a major issue.
• Able to initiate work on projects independently without direct supervision.
• Actively works on resolving the issue instead of procrastinating or hoping it will resolve itself.
• Analyzes the needs of the situation and acts before being told to do so.
• 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

• Incorporates innovative approaches and being adaptable to change.
• Accurately perceives potential risks to the business.
• Shares information on best practices to facilitate business workflows and operations during times of transition and changes in personnel.
• Evaluates risks in terms of their business impact and likelihood of occurrence.
• Thoroughly understands the business needs of the customer.

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

Comments:

Entrepreneurship

• Able to adapt the department to changing business demands and climate.
• Excellent at managing relationships with stakeholders.
• Finds unique ways to go around barriers to success.
• Understands the processes and various stages of business development.
• Maintains a high level of energy to respond to demands of the job.

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.