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

• Keep themselves up-to-date of technical/professional issues
• Seeks opportunities for professional development.
• Encourages employees to take courses relevant to their job.
• Seeks opportunities for continuous learning.
• 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

• Analyze what occurred and re-adjusts accordingly when goals are not met.
• Implements standardized and data driven quality processes/procedures.
• Demonstrates a strong commitment to achieving quality goals.
• Creates quality improvement programs and processes.
• Communicates quality standards clearly.

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.
• Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
• Creates a sense of urgency among the store team members to complete activities, which drive sales.
• Able to focus on a task even when working alone.
• Coordinates all department activities into a cohesive team effort.

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

Comments:

Safety

• Ensures compliance with safety regulations.
• Is aware of OSHA safety guidelines.
• Is not afraid to question a potential safety issue observed in the workplace.
• Identifies predictable hazards in the workplace.
• Ensures that all supervisors are aware of regulatory and compliance measures.

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

Comments:

Customer Focus

• Exhibits a positive attitude even when dealing with difficult customers.
• Creates new and innovative products for customers.
• Anticipates customer needs.
• Is available to respond to customer needs.
• Does not hesitate to address customer concerns or complaints.

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.