Quality - 360 Degree Feedback Survey Sample #12





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)
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.

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


Quality

  • Effectively coordinates with other departments to improve quality.
  • Recognizes their role in promoting quality and safety in the workplace.
  • Verifies the operators have the necessary equipment and supplies to ensure high quality.
  • Effectively works with Quality Control (QC) engineers.
  • Quickly addresses changes in quality of the products.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Feedback

  • Is easy to approach with ideas and opinions.
  • Open to the suggestions of others.
  • Actively seeks feedback from others.
  • Considers other's opinion and suggestions.
  • Asks others for their ideas and opinions.
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.
  • Creates a schedule for the different phases of the project.
  • Maps out the project, timeline, resource requirements, metrics and communication.
  • Successfully negotiated contracts with suppliers.
  • Establishes the scope for the project.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Change Management

  • Develops plans for following through on the changes.
  • Addresses organizational and departmental resistance to changes.
  • Is a leading force driving changes.
  • Inspires others to want to change.
  • Able to get department employees to accept new changes.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Company

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