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

Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies ways to simplify work processes and reduce cycle times
Displays high energy and enthusiasm on consistent basis.
Seeks and utilizes opportunities for continuous learning and self-development.
Conveys a sense of urgency about addressing problems and opportunities
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ability to establish realistic goals.
Assures [Company] principles are understood, employed & pursued.
Effectively organizes resources and plans
Organizes and schedules events, activities, and resources.
Works toward achieving established goals and objectives.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates innovative solutions to meet client needs.
Demonstrates a commitment to client focus.
Provides a responsive service that meets the needs of clients.
Responsive to client needs.
Helps clients feel they are receiving services tailored specifically to their needs.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Finds opportunities to recognize others.
Readily shares credit and gives others opportunity for visibility.
Is sincerely interested in the suggestions of co-workers
Lets employees know when they have done well
Makes people around them feel appreciated and valued.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Exhibits determination and passion in completion of goals.
Encourages dynamic growth opportunities.
Maintains a high level of energy to respond to demands of the job.
Has a strategic awareness on how to promote the organization.
Devotes a certain amount of time and effort to developing new business opportunities.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effective in using Company's resources.
Develops of the department's annual budget.
Develops budgets and plans for various programs and initiatives.
Monitors spending.
Ensures others follow the correct rules and regulations on fiscal matters.

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.