Commitment to Result - 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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Commitment To Result	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Coordinates all department activities into a cohesive team effort.
Maintains persistence and dedication to achieving results.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
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
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates through personal behavior the commitment to high standards of performance.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Is motivated by the desire to be "the best".
Critiques own performance and learns from experience as a source of continuous improvement.
Persists until goals are achieved and commitments are met.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Treats others with respect and dignity.
Forms working relationships with employees from other departments.
Is able to see issues from others' perspectives.
Supports the efforts of other employees in implementing solutions to problems.
Works across boundaries within the organization.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops action plans to align his/her work with the goals of the organization
Understands the vision of the Company and promotes it ahead of any self-interests.
Demonstrates consistency between words and actions
Creates a positive vision of the future for the Company.
Leads employees in new directions.

25. Overall, please rate the effectiveness of .
    

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

    
    
26. Strengths
    
    
    
27. Areas for Development
    
    
    
28. Please give any final comments or suggestions for 's assessment.