Aug 8 2017

360 Feedback Survey Demo #degree #feedback


360 Feedback Survey Demo 1

This example questionnaire shows how comments can be an integral part of the survey. In this example, a comment box is provided for each rating made by the participant. These written comments provide valuable feedback in more detail than just a single rating.

ABC Global 360-Degree Feedback


You are providing feedback to:


You have been selected to provide feedback for the manager listed above. Your feedback is an important part of ‘s leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve months. Your responses will be merged with other’s feedback and presented to the manager to guide them in their on-going development. Comments will be shared anonymously as written with the manager, unless you indicate otherwise.

Method of use: As part of the annual appraisal process, leaders receive feedback from peers, subordinates, customers and supervisors. It is recognized that not all participants will be able to assess an individual’s performance in all areas. The feedback received will be utilized as input to the individual’s annual appraisal and development plan.

Performance Rating Guide:

  • Excels/Role model. Results consistently exceed expectations. Makes significant contributions well beyond requirements. Outpaces the majority of peers.
  • Fully Proficient. Results are fully and consistently on target. Makes a valuable contribution. Is fully competent. This level describes performance of the majority of employees.
  • Developing/Usually meets standards. Results are usually on target. May need occasional support. Still learning how to perform responsibilities independently.
  • Needs improvement. Improvement clearly needed. Is consistent in performance and requires excessive supervision and support. An action plan for improvement in this area needed.

Your questionnaire can be customized to include competencies and items relevant for your needs. Competencies and items can vary depending on job classification or other demographic factors.

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