Communication - 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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Management Team

Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Asks follow-up questions as needed.
Checks for understanding throughout conversations or group presentations/discussions
Able to deliver presentations.
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Able to demonstrate persuasiveness in pursuit of objectives.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates through personal behavior the commitment to high standards of performance.
Critiques own performance and learns from experience as a source of continuous improvement.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Holds self and associates accountable for goal achievement.
Persists until goals are achieved and commitments are met.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand current job responsibilities.
Looks for ways to expand and learn new job skills.
Open to the suggestions from others.
Looks for ways to improve work processes and procedures.
Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Aligns the department's goals with the goals of the organization.
Makes sure that employees understand how their work relates to organizational goals.
Functions well under stress, deadlines, and/or significant workloads.
Helps guide employees with prioritizing tasks.
Maintains focus when handling several problems or tasks simultaneously.
Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks to obtain consensus or compromise.
Ensures stakeholders are involved in the decision making process.
Communicates effectively with others.
Able to express own goals and needs.
Attempts to persuade others rather than simply control them.
Delegation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Allows subordinates to use their own methods and procedures.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Enthusiastic about taking on challenging projects.
Implements and uses performance measures.
Has strong technical/computer skills.
Takes responsibility for decisions.
Strong organizational skills to keep the workspace and department in order
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates the functional or technical skills necessary to do their job.
Takes a lot of pride in their work.
Is planful and organized.
Demonstrates the analytical skills to do their job.
Can be counted on to add value wherever they are involved.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates opportunities for professional development.
Creates a work environment that fosters positive feedback to employees.
Encourages employees through recognition of positive changes in behavior.
Sets performance objectives for subordinates that encourages development opportunities.
Supports the successes of other employees.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Helps employees to understand responsibilities, authority, and expectations.
Addresses employee behavior problems effectively.
Provides clear, motivating, and constructive feedback.
Develops the skills and capabilities of others.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates the conditions for partnerships to grow and develop.
Partners with peers to obtain influence within the Company.
Maintains infrastructure to support partnerships and networks.
Seeks an understanding of diverse functions within the Company.
Supports a partnering/networking culture.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates obstacles and ways to overcome them.
Able to identify the needs of the department before a major change.
Makes plans and follows through.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Able to look ahead (beyond the present) when addressing the work/needs of the department.

61. Overall, please rate the effectiveness of .
    

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

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for 's assessment.