Recognition- 360 Degree Feedback Survey Sample #10

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.

Recognition

• Reinforces and rewards employees for accomplishing necessary goals.
• Offers recognition in a timely manner.
• Recognizes individuals for a specific outstanding achievement.
• Recognizes the abilities and skills of self and others
• Finds opportunities to recognize others.

If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?

Cultural Awareness

• Communicates with others without the influence of racism.
• Understands how implicit biases can affect decisions, communication and productivity.
• Understands the impact that our culture may have on interactions between individuals.
• Is curious and willing to ask questions about the cultural differences in the workplace.
• Willing to work with employees who have different cultural backgrounds.

If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?

Excellence

• Demonstrates the analytical skills to do their job.
• Can be counted on to add value wherever they are involved.
• Is planful and organized.
• Demonstrates the functional or technical skills necessary to do their job.
• Produces high quality work.

If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Coaching

• Helps employees to maintain high personal standards.
• Helps employees to understand responsibilities, authority, and expectations.
• Provides clear, motivating, and constructive feedback.
• Addresses employee behavior problems effectively.
• Develops the skills and capabilities of others.

If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?

Company

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

If [Participant Name] were to make improvements in Company, what are your suggestions for how he/she can improve this?

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

5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

Strengths


Areas for Development


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