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.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Edit this Survey

Would you like to edit this survey? Click here to begin.

Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
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.
Addresses issues of key importance to stakeholders.
Delivers well-prepared, informed, poised and succinct presentations.
Informs others about changes or developments in plans and goals.
Communicates goals of project, resources required, resources available, etc. to the team
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes initiative for own learning and development.
Holds self and associates accountable for goal achievement.
Takes advantage of training opportunities when they arise.
Creates an environment that supports personal development and exploration.
Stays up-to-date on emerging technologies.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks for ways to expand current job responsibilities.
Promotes training and development opportunities to enhance job performance.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand and learn new job skills.
Fosters a culture of open communication and continuous improvement.
Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Articulates the goals, expected outcomes, and how the goal contributes to the broader vision of the organization.
Seeks to minimize underutilization and/or overutilization and makes adjustments to workloads accordingly.
Understands the strengths and needs of each employee in the department.
Analyzes metrics such as project completion rates, quality of work, or customer satisfaction scores.
Keeps the team up-do-date with the latest information.
Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates clear reports with impact.
Maintains strong convictions to convey the importance of their beliefs/values.
Helps employees envision their future success within the team's broader achievements.
Demonstrates consistent integrity and professionalism, earning the respect and trust of others.
Uses clear examples and measurable results to support arguments, making complex issues more tangible.
Delegation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Balances employee skill level with opportunities for professional development in task assignments.
Assigns responsibilities that leverage employees' specialized knowledge for optimal efficiency and results.
Recognizes employees' strengths and aligns tasks with their enthusiasm.
Selects appropriate individuals to complete tasks.
Optimizes delegation by assigning employees tasks that maximize efficiency, promote professional development, and enhance employee engagement.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Proofreads and edits documents.
Creates labeled folders, indexes, or searchable databases.
Takes time to listen to employees.
Compiles, transcribes, and distributes minutes of meetings.
Inventories and documents current supplies and resources.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is planful and organized.
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Can be counted on to add value wherever they are involved.
Demonstrates the functional or technical skills necessary to do their job.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Assigns tasks and responsibilities to develop skills of others.
Tries to ensure employees are ready to move to the next level.
Sets performance objectives for subordinates that encourages development opportunities.
Encourages employees through recognition of positive changes in behavior.
Creates opportunities for professional development.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is attentive to the needs of employees
Addresses employee behavior problems effectively.
Poses open-ended questions that promote exploration, self-reflection, and problem-solving.
Asks open-ended questions to guide employees to uncover their own answers and insights rather than providing them with direct solutions.
Develops the skills and capabilities of others.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Invests in other companies to form equity partnerships.
Creates the conditions for partnerships to grow and develop.
Strives to cultivate and maintain a partnership based on trust and commitment in relationships.
Creates strategic partnerships when resources are limited.
Actively listens to understand different perspectives and identify common interests.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Assigns the right tasks to the right people and holds them accountable.
Accurately estimates the duration of tasks.
Makes plans and follows through.
Assesses the risks of various strategic plans.
Creates a timeline for events and monitors progress.

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.