Quality - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Questionnaires Measuring Quality:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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.

Sample Result Document:
Sample Results
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.


Definite Strength Meets Standards Needs Development N/A
  1. Always strives to produce the highest quality work products.
  1. Holds employees accountable for their quality of work.
  1. Reflects on what is working and what could be improved.
  1. Encourages others to achieve high quality standards.
  1. Encourages employees to produce the best quality products.

Problem Solving

Definite Strength Meets Standards Needs Development N/A
  1. Implements effective solutions to critical problems.
  1. Identifies fresh approaches and shows a willingness to question traditional assumptions.
  1. Finds creative ways to get things done with limited resources.
  1. Works cooperatively with others to solve problems.
  1. Actively seeks the root cause of a problem.

Time Management

Definite Strength Meets Standards Needs Development N/A
  1. Does not procrastinate.
  1. Prioritizes tasks to identify immediate and long-term objectives.
  1. Keeps and maintains a To-Do list.
  1. Sets a good balance between work and family life.
  1. Uses agendas when chairing or facilitating meetings.


Definite Strength Meets Standards Needs Development N/A
  1. Helps others to improve or meet standards of performance.
  1. Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
  1. Takes reasonable risks to achieve desired results.
  1. Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
  1. Demonstrates a well-organized and timely approach to achieve desired results


Definite Strength Meets Standards Needs Development N/A
  1. Makes sure employees understand why they were given certain assignments.
  1. Attends to the important details of a job or task.
  1. Avoids creating ambiguity or mixed messages.
  1. Provides a clear vision for the future.
  1. Seeks to reduce ambiguity in messaging and documents.


Definite Strength Meets Standards Needs Development N/A
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Takes ownership, delivers on commitments
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Builds and maintains the trust of others.

Developing Others

Definite Strength Meets Standards Needs Development N/A
  1. Recognizes and celebrates accomplishments of others.
  1. Is open to receiving feedback.
  1. Provides constructive feedback to others.
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Supports the successes of other employees.

Professional Development

Definite Strength Meets Standards Needs Development N/A
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Contributing fully to the extent of their skills
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Allows employees to fully participate in employee training and professional development.
  1. Keep themselves up-to-date of technical/professional issues


Definite Strength Meets Standards Needs Development N/A
  1. ...Overall Performance
  1. Listens and responds to issues and problems
  1. Works well in this position.
  1. Works effectively in the department.
  1. Able to organize work.


Definite Strength Meets Standards Needs Development N/A
  1. Actively and openly participates in group meetings.
  1. Facilitates team discussions and problem-solving
  1. Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
  1. Willingly share their technical expertise
  1. Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues


Definite Strength Meets Standards Needs Development N/A
  1. Able to quickly learn new ways of performing their job.
  1. Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
  1. Flexible and open to new ideas and encourages others to value change.
  1. Works effectively in dynamic and changing work environments.
  1. Able to adapt to changes in technology and processes.


Definite Strength Meets Standards Needs Development N/A
  1. Gets the job done.
  1. Does whatever it takes (within reason) to get the job done.
  1. Displays high energy and enthusiasm on consistent basis.
  1. Drives and mobilizes others progress toward goals.
  1. Is not afraid to take corrective action when necessary.

  1. Overall, please rate the effectiveness of [Participant Name Here].

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.