Commitment to Result - 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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Commitment To Result	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Coordinates all department activities into a cohesive team effort.
Able to focus on a task even when working alone.
Maintains persistence and dedication to achieving results.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Committed to the team.
Co-worker Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets and clearly communicates expectations, performance goals, and measurements to others
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
Works to identify root causes of performance problems
Provides ongoing feedback to co-workers on their development progress
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates a willingness to participate in continuing education courses.
Enjoys learning new skills and techniques.
Is committed to enhancing their own knowledge and skills.
Demonstrates through personal behavior the commitment to high standards of performance.
Is open to feedback from others.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to see issues from others' perspectives.
Supports the efforts of other employees in implementing solutions to problems.
Works effectively with people from other departments.
Respects the opinions of other employees.
Forms working relationships with employees from other departments.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Pinpoints specific challenges that the company faces and meticulously crafts tailored solutions to overcome these obstacles.
Converts the department's vision into specific goals and a strategic plan.
Supports a positive vision for the future that increases market share and the bottom line.
Charts a bold course for the department's rapid evolution and expansion.
Demonstrates conviction and enthusiasm when discussing the vision, energizing the team.

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

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

    
    
27. Strengths
    
    
    
28. Areas for Development
    
    
    
29. Please give any final comments or suggestions for [Participant Name Here]'s assessment.