Communication - 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

Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates concepts and ideas to others.
Communicates effectively with all levels of the organization.
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Deconstructs complex issues into understandable segments.
Summarizes the question to verify comprehension.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Enjoys learning new skills and techniques.
Is open minded and curious about learning new skills.
Demonstrates a willingness to participate in continuing education courses.
Takes initiative for own learning and development.
Exhibits willingness to upgrade skills through additional training and education.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks for ways to expand and learn new job skills.
Promotes training and development opportunities to enhance job performance.
Open to the suggestions from others.
Looks for ways to expand current job responsibilities.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains focus when handling several problems or tasks simultaneously.
Aligns the department's goals with the goals of the organization.
Maintains self-control when personally criticized.
Stays focused even when under pressure and stress.
Excellent at managing time.
Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks to obtain consensus or compromise.
Able to express own goals and needs.
Persuades others to consider alternative points of view.
Develops a good rapport with others.
Communicates effectively with others.
Delegation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Tells subordinates what to do, not how to do it.
Allows employees to decide how they wish to complete the tasks.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Entrusts subordinates with important tasks.
Defines goals and objectives for subordinates.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to develop, justify and present a budget.
Implements and uses performance measures.
Enthusiastic about taking on challenging projects.
Takes responsibility for decisions.
Accurately implements contract provisions.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Produces high quality work.
Keeps themselves and others focused on constant improvement.
Is planful and organized.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Tries to ensure employees are ready to move to the next level.
Recognizes and celebrates accomplishments of others.
Assigns tasks and responsibilities to develop skills of others.
Sets performance objectives for subordinates that encourages development opportunities.
Creates a work environment that fosters positive feedback to employees.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Helps employees to maintain high personal standards.
Conducts regular performance appraisals and feedback.
Provides clear, motivating, and constructive feedback.
Addresses employee behavior problems effectively.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Guarantees equitable and fair treatment for all network participants.
Can perform a risk assessment to show a balanced view of the partnership's potential outcomes.
Identifies partnerships with overseas companies to expand market opportunities.
Facilitates cross-functional collaboration and information sharing between various stakeholders.
Develops partnerships with senior leaders in the company.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops a detailed plan outlining tasks, resources, timelines, and deliverables.
Works in an organized manner
Creates a timeline to specify when each phase of the project should be concluded.
Schedules staff based on seasonal needs.
Always has a "Plan-B" ready if needed.

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

    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 [Participant Name Here]'s assessment.