Results Oriented - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

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.

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

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

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Results Oriented

• Determines the objectives for the project.
• Has a work ethic with a strong desire to obtain results.
• Motivated by a strong desire to exceed performance standards.
• Is considered a high achiever.
• Produces a high volume of work.

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

Comments:

Action

• Determines the best person for a specific task within the team.
• Is not afraid to take corrective action when necessary.
• Gets the job done.
• Starts immediately working on assignments.
• Is proactive rather than reactive in work.

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

Comments:

Supervisory Skills

• Ensures employees know what they need to complete during the shift.
• Provides constructive, ongoing feedback.
• Speaks to all employees involved to get a complete picture of the situation.
• Values the opinions of subordinates.
• Others emulate this supervisor's enthusiasm for work.

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

Comments:

Initiative

• Acts quickly when a small problem arises to keep it from becoming a major issue.
• Takes advantage of opportunities when they become available.
• Independently seeks out new learning opportunities to improve their skills.
• Coach others to foster an environment which can adapt quickly and willingly to rapid change.
• Is proactive and gets things done.

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

Comments:

Time Management

• Prioritizes major tasks over smaller ones.
• Uses a calendar effectively to keep track of when events or milestones are supposed to occur.
• Approaches work with a sense of urgency.
• Diligently records billable hours.
• Successfully completes critical tasks within deadlines.

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.