Quality - 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.

Quality

• Encourages employees to produce the best quality products.
• Holds employees accountable for their quality of work.
• Corrects issues in a timely manner.
• Always strives to produce the highest quality work products.
• Encourages others to achieve high quality standards.

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

Comments:

Feedback

• Shares past experiences with others as learning opportunities.
• Is visible and approachable.
• Considers other's opinion and suggestions.
• Is easy to approach with ideas and opinions.
• Actively seeks feedback from others.

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

Comments:

Project Management

• Inspires the project implementation team to achieve success.
• Develops performance measures for various aspects of the project.
• Understands the financial, strategic, resources, staffing, timeline and market risks that may impact the project.
• Inspires others to accomplish goals and objectives.
• Manages various facets of the project to keep it on track with the delivery date.

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

Comments:

Change Management

• Adopts changes to set and example for others to follow.
• Able to get department employees to accept new changes.
• Supports new initiatives for organizational changes to improve effectiveness.
• Develops plans for following through on the changes.
• Able to get team members to change their attitudes.

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

Comments:

Company

• Impresses upon others the important aspects of [Company].
• Attends [Company] gatherings and social events.
• Understands the use of [Company] products and services.
• Follows existing procedures and processes.
• Understands the "basics" as to how [Company] functions/operates.

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.