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.

Results Oriented

• Measures progress toward the goal.
• Demonstrates the personal confidence to "stay the course," even when faced with difficulty
• Strives to achieve high volume of output.
• Determines what resources will be needed to achieve the objectives.
• Has a strong drive to complete goals despite obstacles that may arise.

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

Comments:

Action

• Fixes problems when they occur.
• Does whatever it takes (within reason) to get the job done.
• Is proactive in developing solutions to problems.
• Converts plans into actions.
• Works quickly when faced with difficult problems.

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

Comments:

Supervisory Skills

• Makes sure employees are working toward goals set by the company.
• Measures job performance fairly using established criteria.
• Provides direction and coaching to employees.
• Fosters a positive work environment in the department.
• Empowers employees to perform the assigned tasks.

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

Comments:

Initiative

• Does the right thing without being told.
• Gladly seeks additional responsibilities.
• Takes action without being asked.
• Seizes upon opportunities available.
• Coach others to foster an environment which can adapt quickly and willingly to rapid change.

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

Comments:

Time Management

• Maintains precise time logs for billing.
• Manages inbox items promptly.
• Is productive for the majority of time spent during the day.
• Performs high-impact work first.
• Manages the workload effectively in order to stay on schedule.

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.