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 a large volume of work.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes work on time
Displays high energy and enthusiasm on consistent basis.
Seeks and utilizes opportunities for continuous learning and self-development.
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ability to establish realistic goals.
Communicates goals and objectives to employees.
Encourages me to take on greater responsibility.
Consistently provides me with timely feedback for improving my performance.
Able to organize work.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effectively troubleshoots client issues.
Is aware of the client's needs.
Provides a responsive service that meets the needs of clients.
Documents client interactions.
Responds to the needs of the client.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes individuals for a specific outstanding achievement.
Makes people around them feel appreciated and valued.
Offers recognition in a timely manner.
Recognizes team members who offer a significant contribution to a project.
Finds opportunities to recognize others.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Finds unique ways to go around barriers to success.
Has a strategic awareness on how to promote the organization.
Able to adapt the department to changing business demands and climate.
Seeks and utilizes mentors to help guide professional development.
Understands the processes and various stages of business development.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Monitors spending.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors expenses and verifies the need for items purchased.
Develops of the department's annual budget.

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.