Professional Development - 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.

Professional Development

• Demonstrate enthusiasm and a willingness to learn new skills and knowledge
• Seeks opportunities for professional development.
• Contributing fully to the extent of their skills
• Allows employees to fully participate in employee training and professional development.
• Quickly acquire and apply new knowledge and skills when needed

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

Comments:

Quality

• Holds employees accountable for their quality of work.
• Reflects on what is working and what could be improved.
• Encourages others to achieve high quality standards.
• Encourages employees to produce the best quality products.
• Encourages others to produce the highest quality work products.

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

Comments:

Commitment To Result

• Encourages commitment in others to obtain results.
• Takes immediate action toward goals.
• Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
• Committed to the team.
• Maintains persistence and dedication to achieving results.

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

Comments:

Safety

• Supports safety programs and procedures.
• Performs work safely.
• Participates in safety training when offered.
• Is aware of OSHA safety guidelines.
• Develops a sustainable safety culture.

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

Comments:

Customer Focus

• Develops strong customer relationships.
• Considers customers point of view when making decisions.
• Does not hesitate to address customer concerns or complaints.
• ...friendliness and courtesy
• Develops good rapport and trust with the customer.

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.