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)
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.

Sample Result Document:
Sample Results
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

  • Recognizes the abilities and skills of self and others
  • Recognizes individuals for a specific outstanding achievement.
  • Compliments other people when they do good work
  • Reinforces and rewards employees for accomplishing necessary goals.
  • Says "thank you" to show appreciation for work of others.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Quality

  • Creates a culture of quality standards in the workplace.
  • Provides advice and guidance to team members on improving quality controls.
  • Encourages employees to produce the best quality products.
  • Quickly addresses changes in quality of the products.
  • Able to create quality initiatives to be implemented organization-wide.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Clarity

  • Avoids stating unclear or conflicting goals.
  • Communicates ideas and facts clearly and effectively in writing.
  • Avoids creating ambiguity or mixed messages.
  • Adjusts communication methods to the needs of the audience.
  • Provides a clear vision for the future.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Client Focus

  • Maintains strong relationships with clients.
  • Helps others in responding to client needs.
  • Responds to the needs of the client.
  • Makes sure their interests are aligned with the client's interests.
  • Is aware of what the client wants to receive.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Strategic Insight

  • Understands how to strategically grow the business and increase customers.
  • Recognizes the needs of customers.
  • Ensures that the department's goals are strategically aligned with the company's goals.
  • Attends industry conferences to gain further insight into how other companies deal with similar issues.
  • Creates a vision for the organization based on insights gathered from other companies in the industry.
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.