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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Thank you for your participation in the survey.

Management Team

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Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks and utilizes opportunities for continuous learning and self-development.
Motivates others to achieve or exceed goals
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Identifies ways to simplify work processes and reduce cycle times
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Establishes goals and objectives.
Organizes and schedules events, activities, and resources.
Consistently provides me with timely feedback for improving my performance.
Works toward achieving established goals and objectives.
Communicates goals and objectives to employees.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Responsive to client needs.
Maintains strong relationships with clients.
Delivers customized solutions for each client.
Engages with clients on multiple levels.
Creates documents that meet the client's specifications.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is sincerely interested in the suggestions of co-workers
Lets employees know when they have done well
Says "thank you" to show appreciation for work of others.
Finds opportunities to recognize others.
Makes people around them feel appreciated and valued.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Has a strategic awareness on how to promote the organization.
Balances risks and rewards when making decisions.
Finds unique ways to go around barriers to success.
Able to adapt the department to changing business demands and climate.
Excellent at managing relationships with stakeholders.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Monitors expenses and verifies the need for items purchased.
Ensures others follow the correct rules and regulations on fiscal matters.
Effective in using Company's resources.
Develops budgets and plans for various programs and initiatives.
Monitors spending.

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.