Quality - 360 Degree Feedback Survey Sample #11

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.

Edit this Survey

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Quality

What does Quality mean?
It means that ...

• I engage and leads staff in implementation of new quality procedures.
• You encourage others to produce the highest quality work products.
• You make sure cleanliness standards are met to reduce the possibility of contamination.
• You ensure high consistency across batches or production runs.
• I successfully implement quality controls within the department.

To what extent does this person exhibit Quality?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Initiative

What does Initiative mean?
It means that ...

• You volunteer your time and effort toward the completion of important goals.
• I take advantage of opportunities when they become available.
• I seize upon chances to improve the department's prospects.
• You are an inspiration for others to perform above expectations.
• You take decisive action to address problems, following up with relevant team members and coaching them on how to improve.

To what extent does this person exhibit Initiative?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Leadership

What does Leadership mean?
It means that ...

• You provide resources to enable individuals to develop professionally.
• You guide decision-making by coaching, counseling and rewarding.
• You hold others accountable for your actions.
• You take ownership and accountability for results
• You effectively lead others.

To what extent does this person exhibit Leadership?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Empowering Others

What does Empowering Others mean?
It means that ...

• I empower employees to structure their work hours to maximize their productivity.
• I give employees important tasks to expand their career options.
• You give employees the freedom to set their own schedule.
• I assign tasks that allow employees to use their critical thinking skills.
• I encourage independent, original thinking and creative problem-solving.

To what extent does this person exhibit Empowering Others?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Fiscal Management

What does Fiscal Management mean?
It means that ...

• You ensure others follow the correct rules and regulations on fiscal matters.
• You monitor expenses and verify the need for items purchased.
• You provide budgeting and accounting support to the Company.
• You are effective in using company's resources.
• You develop budgets and plans for various programs and initiatives.

To what extent does this person exhibit Fiscal Management?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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