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

• Compliments other people when they do good work
• Is sincerely interested in the suggestions of co-workers
• Recognizes team members who offer a significant contribution to a project.
• Says "thank you" to show appreciation for work of others.
• 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 knowledge and information about other cultures.
• Respects others regardless of age, race, gender, nationality, or disability.
• Communicates with others without the influence of racism.
• Aware of their own cultural views.
• 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

• Can be counted on to add value wherever they are involved.
• Demonstrates the analytical skills to do their job.
• Keeps themselves and others focused on constant improvement.
• Is planful and organized.
• 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

• Addresses employee behavior problems effectively.
• Provides clear, motivating, and constructive feedback.
• Meets regularly with employees to coach them on areas that will enhance their performance
• Helps employees to maintain high personal standards.
• Helps employees to understand responsibilities, authority, and expectations.

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

Company

• Impresses upon others the important aspects of [Company].
• Follows existing procedures and processes.
• Expresses loyalty and dedication to [Company] in interactions with others.
• Understands the "basics" as to how [Company] functions/operates.
• Understands how decisions impact other business units beyond their immediate department of work group.

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.