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Recognition- 360 Degree Feedback Survey Sample #10





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)
Survey 13 (4-point scale; numbers; floating anchors)
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.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Sample Result Document:
Sample Results
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Recognition

  • Creates awards that promote or recognize core values of the company.
  • Creates awards or recognition for specific service anniversary dates.
  • Uses recognition programs to help advance a specific training initiative.
  • Creates a "Collaborator Champion" award to promote and recognize teamwork and collaborative efforts by employees.
  • Recognizes the abilities and skills of self and others
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?

Cultural Awareness

  • Seeks out opportunities to learn about different cultures and integrates that knowledge into leadership practices.
  • Promotes culturally respectful partnerships with external stakeholders and global teams.
  • Consistently acknowledges and validates the contributions of team members from all backgrounds.
  • Accepts individual differences.
  • Recognizes how cultural context influences employee motivation, communication, and collaboration.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?

Excellence

  • Keeps themselves and others focused on constant improvement.
  • Produces high quality work.
  • Demonstrates the functional or technical skills necessary to do their job.
  • Takes a lot of pride in their work.
  • Can be counted on to add value wherever they are involved.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Coaching

  • Encourages the employee to see things from different perspectives.
  • Values the employee's perspective and individuality, which builds trust and rapport.
  • Asks employees to define or explain their goals, strategies, and motivations.
  • Asks questions to help employees see the situation in a new light.
  • Helps the employee to understand factors impacting the job.
If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?

Company

  • Adjusts team focus when needed to support emerging company initiatives.
  • Drives innovation and excellence to keep the company's offerings competitive and compelling.
  • Openly acknowledges mistakes and takes accountability without deflecting blame.
  • Provides corporate trainers that are experts in their respective fields.
  • Ensures the physical plant has everything needed to facilitate the production line.
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].






Strengths


Areas for Development


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