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
Conducts impactful training sessions.
Notifies others about developments in plans and goals.
Ensures comprehension during conversations or group presentations.
Speaks clearly, fluently, and in a compelling manner to both individuals and groups.
Considers the audience in how the communication is presented.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Inspires others to learn new things.
Enjoys learning new skills and techniques.
Demonstrates a willingness to participate in continuing education courses.
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.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to improve work processes and procedures.
Looks for ways to expand and learn new job skills.
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
Helps guide employees with prioritizing tasks.
Aligns the department's goals with the goals of the organization.
Functions well under stress, deadlines, and/or significant workloads.
Stays focused even when under pressure and stress.
Excellent at managing time.
Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures stakeholders are involved in the decision making process.
Understanding what others need.
Able to express own goals and needs.
Communicates effectively with others.
Develops a good rapport with others.
Delegation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Allows employees to decide how they wish to complete the tasks.
Entrusts subordinates with important tasks.
Clearly defines duties and tasks to be completed.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accurately implements contract provisions.
Strong organizational skills to keep the workspace and department in order
Takes responsibility for decisions.
Has strong technical/computer skills.
Able to develop, justify and present a budget.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Produces high quality work.
Demonstrates the analytical skills to do their job.
Keeps themselves and others focused on constant improvement.
Takes a lot of pride in their work.
Is planful and organized.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets performance objectives for subordinates that encourages development opportunities.
Assigns tasks and responsibilities to develop skills of others.
Supports the successes of other employees.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Tries to ensure employees are ready to move to the next level.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops the skills and capabilities of others.
Addresses employee behavior problems effectively.
Helps employees to maintain high personal standards.
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to understand responsibilities, authority, and expectations.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Shares resources, technology, facilities, or intellectual property to benefit both partners.
Ensures that lessons learned from the partnership are disseminated and built upon.
Creates opportunities and incentives for employees to learn and share knowledge with others.
Implements effective oversight of network activities.
Facilitates cross-functional collaboration and information sharing between various stakeholders.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to identify the needs of the department before a major change.
Anticipates challenges and has plans to overcome them.
Delegates role to team members to accomplish goals.
Assesses the risks of various strategic plans.
Accomplishes major tasks by breaking them into manageable pieces.

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.