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Run: 360 Feedback Survey Form

A 360 feedback survey form for collecting confidential performance input from managers, peers, direct reports, and self-review. Use it to gather structured r...

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Respondent Information

Your relationship to the employee (required)

Your department

Optional. Used only for reporting and analysis.

How long have you worked with the employee?

Confidentiality acknowledgement (required)

Yes No N/A

Employee Identification

Employee name (required)

Employee ID

Optional if your organization uses employee IDs.

Review period (required)

Date of feedback (required)

Competency Ratings

Overall effectiveness (required)

Communicates clearly and appropriately for the audience (required)

Collaborates effectively with others (required)

Demonstrates ownership and follows through (required)

Adapts well to change and ambiguity (required)

Demonstrates leadership or influence when appropriate

Comments on ratings

Provide examples of observable behaviors, outcomes, or situations that support your ratings.

Strengths and Development Areas

Top strengths (required)

What does this employee do especially well? Include concrete examples.

Development areas (required)

What should the employee improve or do differently? Focus on behaviors, not personality.

Example of positive impact

Describe a situation where the employee had a positive impact on the team, customer, or project.

What support would help them grow?

Overall Assessment

Overall summary (required)

Summarize the employee's performance in a few sentences.

Promotion readiness

Would you recommend this employee for a stretch assignment or leadership opportunity?

Additional comments

Use this field for any context not captured above. Please avoid including unnecessary PII.

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Email (required)

Your name (optional)

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