Recognition- 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Assessments Measuring Recognition:
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)

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.


Definite Strength Meets Standards Needs Development N/A
  1. Recognizes individuals for a specific outstanding achievement.
  1. Is sincerely interested in the suggestions of co-workers
  1. Compliments other people when they do good work
  1. Recognizes the abilities and skills of self and others
  1. Readily shares credit and gives others opportunity for visibility.

Developing Others

Definite Strength Meets Standards Needs Development N/A
  1. Creates opportunities for professional development.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Assesses employees' developmental needs.
  1. Encourages employees through recognition of positive changes in behavior.
  1. Provides constructive feedback to others.

Business Acumen

Definite Strength Meets Standards Needs Development N/A
  1. Interprets data to make informed business decisions.
  1. Describes and summarizes data.
  1. Calculates return on investment (ROI) for various business projects.
  1. Able to correctly assess current/estimated valuations.
  1. Aware of regulations that impact our business.

Communication Skills

Definite Strength Meets Standards Needs Development N/A
  1. Listens to others' points of view with an open mind
  1. Coaches others and provides feedback on the use of different oral communication styles for different audiences
  1. Able to demonstrate persuasiveness in pursuit of objectives.
  1. An effective listener who is responsive to information needs.
  1. Delivers well-prepared, informed, poised and succinct presentations.

Self Management

Definite Strength Meets Standards Needs Development N/A
  1. Uses patience and self-control in working with customers and associates.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.


Definite Strength Meets Standards Needs Development N/A
  1. Maintains an efficient schedule of activities.
  1. Arrives to meetings on time.
  1. Avoids making personal phone calls during working hours.
  1. Starts meetings on time.
  1. Starts the workday when scheduled.


Definite Strength Meets Standards Needs Development N/A
  1. Analyzes data and information from several sources and arrives at logical conclusions.
  1. Balances risks and costs with the rewards and probabilities of success when decisions.
  1. Identifies opportunities for progress and innovation.
  1. Analyzes issues and reduces them to their component parts.
  1. Identifies problems and issues needing resolution.


Definite Strength Meets Standards Needs Development N/A
  1. Creates improved methods or solutions for meeting goals and objectives.
  1. Solves problems with insight and understanding.
  1. Creates a safe environment for idea-sharing.
  1. Develops new products and services.
  1. Encourages open communication to ensure that all proposals are considered.

Fiscal Management

Definite Strength Meets Standards Needs Development N/A
  1. Provides budgeting and accounting support to the Company.
  1. Develops budgets and plans for various programs and initiatives.
  1. Monitors expenses and verifies the need for items purchased.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Ensures others follow the correct rules and regulations on fiscal matters.

  1. Overall, please rate the effectiveness of [Participant Name Here].

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.