Bias for Action - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Completes work on time
Seeks and utilizes opportunities for continuous learning and self-development.
Displays high energy and enthusiasm on consistent basis.
Identifies ways to simplify work processes and reduce cycle times
Completes a large volume of work.
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Consistently provides me with timely feedback for improving my performance.
Communicates goals and objectives to employees.
Organizes and schedules events, activities, and resources.
Assures [Company] principles are understood, employed & pursued.
Effectively organizes resources and plans
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes sure team members understand the issues faced by the client.
Acts with integrity in all client interactions.
Delivers high quality products to the client.
Identifies opportunities that will enhance the client's experience.
Prioritizes the needs and preferences of the client.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is sincerely interested in the suggestions of co-workers
Offers recognition in a timely manner.
Lets employees know when they have done well
Recognizes individuals for a specific outstanding achievement.
Compliments other people when they do good work
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains a high level of energy to respond to demands of the job.
Encourages risk taking for developing potential business opportunities.
Can work effectively in an environment of uncertainty.
Has a strategic awareness on how to promote the organization.
Balances risks and rewards when making decisions.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors spending.
Develops of the department's annual budget.
Monitors expenses and verifies the need for items purchased.
Effective in using Company's resources.

31. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
32. Strengths
    
    
    
33. Areas for Development
    
    
    
34. Please give any final comments or suggestions for [Participant Name Here]'s assessment.