Recognition- 360 Degree Feedback Survey Sample #12

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Recognition

• Makes people around them feel appreciated and valued.
• Finds opportunities to recognize others.
• Is sincerely interested in the suggestions of co-workers
• Recognizes team members who offer a significant contribution to a project.
• Offers recognition in a timely manner.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Quality

• Holds employees accountable for their quality of work.
• Encourages others to achieve high quality standards.
• Encourages others to produce the highest quality work products.
• Encourages employees to produce the best quality products.
• Always strives to produce the highest quality work products.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Clarity

• Avoids stating unclear or conflicting goals.
• Avoids creating ambiguity or mixed messages.
• Maintains clarity in goals and objectives.
• Checks details thoroughly.
• Clarifies problems and their causes to help employees correct them.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Client Focus

• Ensures client commitments and requirements are met or exceeded
• Obtains feedback to ensure client needs are being met.
• Forms strong client relationships
• Maintains strong relationships with clients.
• Is pro-active in dealing with clients and addressing their needs.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strategic Insight

• Identifies potential problems before they become critical incidents.
• Formulates strategies and action plans to ensure successful completion of goals and objectives.
• Implements long-term solutions to problems.
• Formulates policies and strategies for addressing the Company's important challenges.
• Analyzes unique issues or problems impacting the Company.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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