Quality - 360 Degree Feedback Survey Sample #11

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.

Quality

What does Quality mean?
It means that ...

• You identify strategies and their associated risks to improve quality.
• I regularly measure product specifications to ensure uniformity and quality control.
• You communicate quality standards that are easily by employees.
• You investigate critical incidents that impact quality.
• I am able to identify quality issues critical to the organization.

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 ...

• I take corrective action to rectify issues.
• You initiate new projects for the department.
• You are an inspiration for others to perform above expectations.
• I initiate important conversation topics at meetings.
• You go above and beyond the stated goals.

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 are a highly effective supervisor.
• You motivate others to reach and exceed organizational goals and objectives.
• You are able to align manpower, design work, an allocate tasks to achieve goals.
• You set a high level of performance expectations and challenges others to do the same.
• You set clear goals and objectives for subordinates.

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 ...

• You set clear goals for others to accomplish.
• I allow employees to participate in the workload of the department.
• I create a culture where employees are given the opportunity to take the initiative and make impactful decisions.
• I establish goals that allow employees top operate independently in the field.
• I allow employees to take ownership of their work.

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 monitor spending.
• You ensure others follow the correct rules and regulations on fiscal matters.
• You provide budgeting and accounting support to the Company.
• You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
• 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.