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
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Addresses issues of key importance to stakeholders.
Communicates effectively with colleagues and customers
Able to deliver presentations.
Gives clear and convincing presentations.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates a willingness to participate in continuing education courses.
Demonstrates through personal behavior the commitment to high standards of performance.
Exhibits willingness to upgrade skills through additional training and education.
Takes initiative for own learning and development.
Will participate in training classes even if offered outside of normal working hours.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes processes to determine areas for improvement.
Looks for ways to expand current job responsibilities.
Open to the suggestions from others.
Looks for ways to improve work processes and procedures.
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
Sets appropriate goals for employees.
Excellent at managing time.
Aligns the department's goals with the goals of the organization.
Maintains self-control when personally criticized.
Helps guide employees with prioritizing tasks.
Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to express own goals and needs.
Persuades others to consider alternative points of view.
Has excellent influencing/negotiating skills.
Seeks to obtain consensus or compromise.
Develops a good rapport with others.
Delegation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Entrusts subordinates with important tasks.
Tells subordinates what to do, not how to do it.
Allows employees to decide how they wish to complete the tasks.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Defines goals and objectives for subordinates.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
High attention to detail.
Able to develop, justify and present a budget.
Implements and uses performance measures.
Enthusiastic about taking on challenging projects.
Strong organizational skills to keep the workspace and department in order
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Can be counted on to add value wherever they are involved.
Produces high quality work.
Is planful and organized.
Keeps themselves and others focused on constant improvement.
Takes a lot of pride in their work.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is open to receiving feedback.
Provides constructive feedback to others.
Supports the successes of other employees.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Creates opportunities for professional development.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Helps employees to maintain high personal standards.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to understand responsibilities, authority, and expectations.
Provides clear, motivating, and constructive feedback.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks to reduce institutional roadblocks to information sharing.
Seeks an understanding of diverse functions within the Company.
Creates value within the Company by building networks.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Partners with peers to obtain influence within the Company.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates obstacles and ways to overcome them.
Works in an organized manner
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Delegates role to team members to accomplish goals.
Makes plans and follows through.

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.