Professional Development - 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.

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Professional Development

• Encourages employees to take courses relevant to their job.
• Seeks opportunities for professional development.
• Allows employees to fully participate in employee training and professional development.
• Quickly acquire and apply new knowledge and skills when needed
• Demonstrate enthusiasm and a willingness to learn new skills and knowledge

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

Comments:

Quality

• Develops specific quality standards/goals to be met within a specified timeframe.
• Identifies strategies and their associated risks to improve quality.
• Creates and implements formal guidelines for quality controls.
• Investigates critical incidents that impact quality.
• Reflects on what is working and what could be improved.

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

Comments:

Commitment

• Encourages employees to channel their abilities toward achieving organizational outcomes.
• Connects individual roles to organizational objectives, helping employees see how their work contributes to success.
• Maintains persistence and dedication to achieving results.
• Encourages others to work with a sense of urgency.
• Stays focused on the task.

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

Comments:

Safety

• Participates in safety training when offered.
• Supports safety programs and procedures.
• Ensures that all supervisors are aware of regulatory and compliance measures.
• Performs work safely.
• Develops safety guidelines for the department.

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

Comments:

Customer Focus

• Makes customers feel valued by acknowledging their concerns and validating their experiences.
• Provides excellent service to customers.
• Helps others in responding to customer needs.
• Is competent in handling difficult customers.
• Encourages others to adopt a customer-first mindset through actions.

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.