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

• Communicates quality standards that are easily by employees.
• Is a role model for quality practices and standards.
• Adjusts processes or procedures to improve quality results.
• Implements standardized and data driven quality processes/procedures.
• Promotes an environment that fosters quality and safety.

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

Comments:

Feedback

• Considers other's opinion and suggestions.
• Actively seeks feedback from others.
• Open to the suggestions of others.
• Seeks feedback to enhance performance.
• Accepts the views of others.

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

Comments:

Project Management

• Identifies the potential risks for each phase of the project.
• Implements project metrics to track progress.
• Ensures that the project remains at or under budget.
• Identifies potential risks to completing the project on time.
• Determines the roles for project team members.

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

Comments:

Change Management

• Effective in implementing new organizational vision and values.
• Able to get department employees to accept new changes.
• Inspires others to want to change.
• Facilitates change with minimal resistance.
• Develops plans for following through on the changes.

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

Comments:

Company

• Understands how decisions impact other business units beyond their immediate department of work group.
• Follows existing procedures and processes.
• Attends [Company] gatherings and social events.
• Understands the "basics" as to how [Company] functions/operates.
• Understands the use of [Company] products and services.

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.