Collaboration- 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

Collaboration	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages, promotes and rewards collaboration for improved performance.
Builds consensus among team members.
Willing to work with others to solve problems.
Works to obtain a shared vision for goals and objectives of the team.
Displays a high degree of trust and credibility.
Builds strong partnerships with others.
Works with other experts to solve problems.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks opportunities for continuous learning.
Quickly acquire and apply new knowledge and skills when needed
Keep themselves up-to-date of technical/professional issues
Contributing fully to the extent of their skills
Allows employees to fully participate in employee training and professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Seeks opportunities for professional development.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures team members understand the department goals.
Ensures team members receive rewards for positive performance accomplishments.
Performs thorough and timely employee performance reviews.
Ensures employees understand the goals of the organization/department.
Sets long and short term goals.
Provides employees with training as needed to increase their performance.
Finds the most efficient way of doing things.
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses software scheduler to keep track of projects.
Ensures that assignments are prioritized according to the needs of the department/company.
Creates an effective balance of workload between different projects.
Assigns tasks based on skills of team members.
Prioritizes tasks for efficiency.
Effectively manages time to stay on schedule.
Able to complete several tasks at the same time.
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Aware of appropriate actions to minimize risks.
Creates a risk profile for projects and teams.
Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Is aware of the financial implications of certain risks.
Seeks to increase safety in the workplace.
Accurately determines appropriate risk levels (i.e., levels of acceptable risk).
Works within constraints of the organization.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates goals and objectives to employees.
Able to decline a poor strategy by proposing alternate strategies.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Understands & contributes to development of strategic goals.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Understands their role within the organization.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.

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

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

    
    
44. Strengths
    
    
    
45. Areas for Development
    
    
    
46. Please give any final comments or suggestions for [Participant Name Here]'s assessment.