360 Degree Feedback Sample 13

Rater: [Your Name]
You are providing feedback to: [Participant Name]

Instructions

You have been asked to evaluate yourself as part of a 360-degree developmental evaluation process. Other employees will also provide you with feedback. In this manner, you will be provided with a comprehensive, multi-perspective view of your performance. The end goal is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

Please provide feedback using the form below. If you are not able to respond to an item, leave it blank and go on to the next item. You do not have to complete entire questionnaire in one sitting. To save your data, press the SUBMIT button at the bottom of the form. You can re-access the survey questionnaire later by clicking on the link provided to you in the email message you received. You are able to return to the survey and enter/edit data as often as needed during the data collection period (____^th - ___^st).

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When you enter text comments into the box below, please focus your comments on work behaviors and styles. Please provide a comment for anything you marked Improvement Recommended.