360 Degree Feedback Survey Questions

Sample Templates
Business

360 Degree Feedback Survey

360 Degree Feedback

360 degree feedback evaluates an employee from all sides. The evaluation should be completed by the employee, the employee's manager/supervisors, the employee's subordinates, and the employee's peers. Provide feedback by thoughtfully and accurately filling in the information below.

1. Are you ...

The employee	The employee's manager/supervisor
The employee's subordinate	The employee's peer

Other

Employee Information

2. Employee Information

First Name
Last Name
Department

3. Evaluation Date

Month	Day	Year

Knowledge and Skill

4. Rate this employee in the following areas

	Consistently exceeds expectations	Frequently meets and exceeds expectations	Meets expectations	Sometimes meets expectations	Rarely meets expectations
Possesses knowledge to perform job competently	1	2	3	4	5
Possesses skills needed to perform job competently	1	2	3	4	5
Pays attention to details	1	2	3	4	5
Looks for ways to improve quality	1	2	3	4	5
Strives to learn and improve	1	2	3	4	5
Takes on responsibilities	1	2	3	4	5
Capable of working without constant supervision	1	2	3	4	5

5. Comments

Communication

6. Rate this employee in the following areas

	Consistently exceeds expectations	Frequently meets and exceeds expectations	Meets expectations	Sometimes meets expectations	Rarely meets expectations
Clearly expresses ideas and information	1	2	3	4	5
Maintains a professional attitude	1	2	3	4	5
Shares knowledge with coworkers	1	2	3	4	5
Keeps appropriate people informed in a timely manner	1	2	3	4	5
Requests assistance in a timely manner	1	2	3	4	5

7. Comments

Job Performance

8. Rate this employee in the following areas

	Consistently exceeds expectations	Frequently meets and exceeds expectations	Meets expectations	Sometimes meets expectations	Rarely meets expectations
Properly uses materials and equipment\|Applies feedback to improve performance	1	2	3	4	5
Handles unexpected situations calmly and efficiently	1	2	3	4	5
Demonstrates ability to gather information and develop solutions	1	2	3	4	5
Easily adapts to changes in the workplace	1	2	3	4	5
Takes responsibility for his/her actions	1	2	3	4	5
Can handle multiple tasks at one time	1	2	3	4	5
Completes tasks correctly and with accuracy	1	2	3	4	5
Follows company rules and procedures	1	2	3	4	5
Demonstrates commitment to safety	1	2	3	4	5

9. Comments

Working with Others

10. Rate this employee in the following areas

	Consistently exceeds expectations	Frequently meets and exceeds expectations	Meets expectations	Sometimes meets expectations	Rarely meets expectations
Works well with others	1	2	3	4	5
Respects ideas and contributions of everyone	1	2	3	4	5
Fulfills commitments to others	1	2	3	4	5
Is sensitive to needs and capabilities of others	1	2	3	4	5
Takes responsibility for his/her actions	1	2	3	4	5
Capable of working without constant supervision	1	2	3	4	5
Accepts and provides constructive criticism	1	2	3	4	5
Shares knowledge and team resources with coworkers	1	2	3	4	5
Contributes an appropriate amount of work	1	2	3	4	5

11. Comments

Overall Performance

12. Should this employee be considered for promotion?

Yes

N/A

13. Should this employee be considered for termination?

Yes

N/A