360 Degree Feedback example

This is an example 360 Degree Feedback survey. This survey includes questions like:

We hope this will help you create your own 360 Degree Feedback survey. We have not tested the validitiy or reliability of this survey. However, you may use this as a starting point to help your own survey instrument. Feel free to change and edit any of our survey templates to help you get started.

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1) I am this individuals...
  • Superior
  • Subordinate
  • Peer
  • Client
  • Customer
  • Supplier
  • Vendor
  • Other:
2) I have known the individual for...
  • Less than one year
  • One (1) to three (3) years
  • Three (3) to five (5) years
  • More than five (5) years
3) I would rate this individual's performance in the following ways
  5 (best) 4 3 2 1 (worst)
Ability to communicate
Work Ethic
Overall performance
4) Relative to this individual's peers, I would agree, disagree, or are unsure about
  Agree Unsure Disagree
Completes projects on time
Follows existing procedures
Develops new procedures
Handles conflict well
5) What do you feel are this individual's best qualities?
6) What do you feel this individual could work on?
7) If you have any other comments about this individual, please enter them here
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