Bias for Action - 360 Degree Feedback Survey Sample #5

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

Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Completes a large volume of work.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Identifies ways to simplify work processes and reduce cycle times
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Conveys a sense of urgency about addressing problems and opportunities
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ability to establish realistic goals.
Sets long-term and short-term goals.
Consistently provides me with timely feedback for improving my performance.
Works toward achieving established goals and objectives.
Effectively organizes resources and plans
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks for opportunities that have a positive impact on Clients.
Forms strong client relationships
Is pro-active in dealing with clients and addressing their needs.
Satisfies client needs.
Maintains strong relationships with clients.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes individuals for a specific outstanding achievement.
Reinforces and rewards employees for accomplishing necessary goals.
Offers recognition in a timely manner.
Lets employees know when they have done well
Compliments other people when they do good work
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to adapt the department to changing business demands and climate.
Devotes a certain amount of time and effort to developing new business opportunities.
Has a strategic awareness on how to promote the organization.
Finds unique ways to go around barriers to success.
Encourages risk taking for developing potential business opportunities.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops budgets and plans for various programs and initiatives.
Keeps excellent records for financial transparency.
Monitors expenses and verifies the need for items purchased.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors spending.

31. Overall, please rate the effectiveness of .
    

    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 's assessment.