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
Maintains persistence and dedication to achieving results.
Encourages commitment in others to obtain results.
Committed to the team.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Takes immediate action toward goals.
Co-worker Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets and clearly communicates expectations, performance goals, and measurements to others
Gives others development opportunities through project assignments and increased job responsibilities
Works to identify root causes of performance problems
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Stays up-to-date on emerging technologies.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Creates an environment that supports personal development and exploration.
Takes initiative for own learning and development.
Is open minded and curious about learning new skills.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Respects the opinions of other employees.
Includes others in the decision making processes.
Works across boundaries within the organization.
Treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops and executes a strategic vision for the organization.
Creates a vision to align corporate strategies with the organization's value system.
Develops a strategic vision informed by comprehensive analysis of the company's performance.
Communicates the vision and strategy of [Company]
Develops a schedule that outlines specific phases, measurables, and deadlines, ensuring that work is systematically aligned and coordinated with the organization's vision.

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.