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

• Holds employees accountable for their quality of work.
• Encourages others to produce the highest quality work products.
• Corrects issues in a timely manner.
• Encourages employees to produce the best quality products.
• Analyze what occurred and re-adjusts accordingly when goals are not met.

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

Comments:

Feedback

• Is easy to approach with ideas and opinions.
• Shares past experiences with others as learning opportunities.
• Looks to others for input.
• Is visible and approachable.
• Accepts the views of others.

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

Comments:

Project Management

• Able to adjust project schedule as needed to accommodate unforeseen issues.
• Develops action items, workplans, timelines, and criteria for projects.
• Anticipates potential problems and institutes controls and contingency plans to address them.
• Defines project outcomes based on customer requirements.
• Inspires others to accomplish goals and objectives.

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

Comments:

Change Management

• Able to get team members to change their attitudes.
• Inspires others to want to change.
• Is an inspiration for others to accept the recent changes.
• Supports the Company's efforts to implement changes.
• Addresses organizational and departmental resistance to changes.

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

Comments:

Company

• Follows existing procedures and processes.
• Understands the "basics" as to how [Company] functions/operates.
• Understands how decisions impact other business units beyond their immediate department of work group.
• Expresses loyalty and dedication to [Company] in interactions with others.
• Impresses upon others the important aspects of [Company].

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.