Performance - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

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.

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.

Performance

• Works well in this position.
• Sets a high standard for job performance.
• Effectively organizes resources and plans
• Able to organize work.
• Has great overall performance

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

Comments:

Punctuality

• Maintains an efficient schedule of activities.
• Responds to requests for information in a timely manner.
• Avoids making personal phone calls during working hours.
• Starts the workday when scheduled.
• Invoices clients on a timely basis.

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

Comments:

Initiative

• Seeks and utilizes opportunities for continuous learning and self-development.
• Takes action without being asked.
• Takes the initiative to change the direction or course of events.
• Immediately works to complete goals well before their deadline.
• 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:

Business Acumen

• Exhibits behavior that is consistent with the vision, mission, and core values of the organization
• Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
• Asks the 'right' questions to size up or evaluate situations.
• Understands complex issues and problems.
• Able to align resources to meet the business needs of the company.

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

Comments:

Entrepreneurship

• Encourages dynamic growth opportunities.
• Finds unique ways to go around barriers to success.
• Excellent at managing relationships with stakeholders.
• Able to adapt the department to changing business demands and climate.
• Encourages risk taking for developing potential business opportunities.

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.