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)
Survey 13 (4-point scale; numbers)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

Sample Result Document:
Sample Results
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.
  • Quickly addresses changes in quality of the products.
  • Evaluates and improves the quality of services and products.
  • Analyzes quality improvement plans and initiatives.
  • Identifies strategies and their associated risks to improve quality.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Feedback

  • Accepts the views of others.
  • Actively seeks feedback from others.
  • Looks to others for input.
  • Considers other's opinion and suggestions.
  • Is easy to approach with ideas and opinions.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Project Management

  • Works with customers and clients to assess their needs and define project parameters.
  • Regularly measures and records progress of the project.
  • Implements project metrics to track progress.
  • Prepares and utilizes QC Checklists to ensure high quality.
  • Creates the metrics used to measure progress on the project.
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.
  • Supports new initiatives for organizational changes to improve effectiveness.
  • Assists others in understanding changes to the organization.
  • Is an inspiration for others to accept the recent changes.
  • Works cooperatively with others to implement changes.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Company

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