360-Degree Multi-Rater Assessment Form
Please provide your candid assessment by rating the competencies below. Your feedback helps support a comprehensive, balanced review.
Name of Person Being Assessed
*
First Name
Last Name
Your Relationship to the Assessed Person
*
Please Select
Manager
Peer
Direct Report
Self
Other
Rate the following competencies
*
Rows
Needs Improvement
Developing
Competent
Highly Effective
Outstanding
Communication
1
2
3
4
5
Collaboration
6
7
8
9
10
Problem Solving
11
12
13
14
15
Accountability
16
17
18
19
20
Leadership
21
22
23
24
25
Demonstrates integrity and ethical behavior
1
2
3
4
5
Provides constructive feedback to others
1
2
3
4
5
Please provide an example of a strength you have observed.
Please provide an example of a development area or opportunity for growth.
Overall performance summary (optional)
Submit Assessment
Should be Empty: