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.
• Readily shares credit and gives others opportunity for visibility.
• Finds opportunities to recognize others.
• Recognizes team members who offer a significant contribution to a project.
• Makes people around them feel appreciated and valued.

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

Cultural Awareness

• Fosters a diverse workforce free from discrimination and harassment.
• Treats others with dignity and respect.
• Respects others regardless of age, race, gender, nationality, or disability.
• Recognizes and values individual and cultural differences.
• Maintains an inclusive work environment that maximizes the talents of others in achieving goals.

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

Excellence

• Is planful and organized.
• Demonstrates the functional or technical skills necessary to do their job.
• Takes a lot of pride in their work.
• Demonstrates the analytical skills 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

• Conducts regular performance appraisals and feedback.
• Provides clear, motivating, and constructive feedback.
• Helps employees to understand responsibilities, authority, and expectations.
• Meets regularly with employees to coach them on areas that will enhance their performance
• Coaches employees in how to strengthen knowledge and skills to improve work performance.

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

Company

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

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.