Recognition- 360 Degree Feedback Survey Sample #12





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.

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.

Sample Result Document:
Sample Results
To what extent does [Participant Name] exhibit the following ...

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


Recognition

  • Recognizes individuals for a specific outstanding achievement.
  • Says "thank you" to show appreciation for work of others.
  • Offers recognition in a timely manner.
  • Readily shares credit and gives others opportunity for visibility.
  • Finds opportunities to recognize others.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Quality

  • Demonstrates a strong commitment to achieving quality goals.
  • Engages and leads staff in implementation of new quality procedures.
  • Encourages others to produce the highest quality work products.
  • Holds employees accountable for their quality of work.
  • Assists quality control inspectors.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Clarity

  • Seeks to reduce ambiguity in messaging and documents.
  • Makes sure employees understand why they were given certain assignments.
  • Clearly defines work objectives for employees.
  • Is clear about the roles and duties of team members.
  • Maintains clarity in goals and objectives.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Client Focus

  • Thoroughly understands the needs of the client.
  • Their activities reflect a strong focus on the client relationship.
  • Provides a responsive service that meets the needs of clients.
  • Manages client accounts with high degree of competence.
  • Sets an example for excellent client relations.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Strategic Insight

  • Adjusts strategic plans based on insights gathered from different points of view.
  • Develops a strategic vision for the future.
  • Develops a plan and strategy for each functional area within the mission statement.
  • Creates a vision for the organization based on insights gathered from other companies in the industry.
  • Lets employees know how their roles contribute toward the achievement of strategic company objectives.
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.