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

Recognition

  • Recognizes individuals for a specific outstanding achievement.
  • Recognizes the abilities and skills of self and others
  • Readily shares credit and gives others opportunity for visibility.
  • Reinforces and rewards employees for accomplishing necessary goals.
  • Compliments other people when they do good work
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?

Cultural Awareness

  • Understands how their own cultural background can impact the way they communicate and interact with others.
  • Understands how implicit biases can affect decisions, communication and productivity.
  • Is responsive to individuals from other cultures.
  • May advocate for others with different cultural backgrounds.
  • Participates in cultural training sessions/classes.
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.
  • Takes a lot of pride in their work.
  • Can be counted on to add value wherever they are involved.
  • Demonstrates the functional or technical skills necessary to do their job.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Coaching

  • Helps employees to understand responsibilities, authority, and expectations.
  • Develops the skills and capabilities of others.
  • Provides clear, motivating, and constructive feedback.
  • Conducts regular performance appraisals and feedback.
  • Meets regularly with employees to coach them on areas that will enhance their performance
If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?

Company

  • Understands the use of [Company] products and services.
  • Expresses loyalty and dedication to [Company] in interactions with others.
  • Attends [Company] gatherings and social events.
  • Follows existing procedures and processes.
  • Understands the "basics" as to how [Company] functions/operates.
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.