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
Able to demonstrate persuasiveness in pursuit of objectives.
Addresses issues of key importance to stakeholders.
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Able to deliver presentations.
Delivers information in a clear, concise, and logical manner.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Enjoys learning new skills and techniques.
Is committed to enhancing their own knowledge and skills.
Demonstrates a willingness to participate in continuing education courses.
Takes initiative for own learning and development.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks for ways to improve work processes and procedures.
Analyzes processes to determine areas for improvement.
Open to the suggestions from others.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand current job responsibilities.
Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains self-control when personally criticized.
Excellent at managing time.
Aligns the department's goals with the goals of the organization.
Makes sure that employees understand how their work relates to organizational goals.
Helps guide employees with prioritizing tasks.
Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates effectively with others.
Has excellent influencing/negotiating skills.
Understanding what others need.
Persuades others to consider alternative points of view.
Seeks to obtain consensus or compromise.
Delegation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Clearly defines duties and tasks to be completed.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Tells subordinates what to do, not how to do it.
Assigns tasks to create learning opportunities for the employees.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Completes reports on-time.
High attention to detail.
Implements and uses performance measures.
Strong organizational skills to keep the workspace and department in order
Takes responsibility for decisions.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes a lot of pride in their work.
Produces high quality work.
Can be counted on to add value wherever they are involved.
Demonstrates the functional or technical skills necessary to do their job.
Is planful and organized.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates opportunities for professional development.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Encourages employees through recognition of positive changes in behavior.
Is open to receiving feedback.
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 understand responsibilities, authority, and expectations.
Meets regularly with employees to coach them on areas that will enhance their performance
Conducts regular performance appraisals and feedback.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Promotes the understanding of how the department affects the organization overall.
Supports and encourages relationships that are created by diverse team members.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Maintains infrastructure to support partnerships and networks.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops effective plans to deal with unforeseen circumstances.
Determines the steps required for completion of a task.
Accomplishes major tasks by breaking them into manageable pieces.
Assesses the risks of various strategic plans.
Efficiently manages deadlines.

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.