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
Deals with difficult situations calmly and confidently.
Communicates with department leadership
Delivers influential presentations.
An effective listener who is responsive to information needs.
Checks for understanding throughout conversations or group presentations/discussions
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates an environment that supports personal development and exploration.
Is open minded and curious about learning new skills.
Enhances value to the company through additional training and development.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Constantly enhances product knowledge through experimentation and play.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks for ways to expand current job responsibilities.
Looks for ways to improve work processes and procedures.
Promotes training and development opportunities to enhance job performance.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Analyzes processes to determine areas for improvement.
Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes sure that employees understand and identify with the team's mission.
Excellent at managing time.
Functions well under stress, deadlines, and/or significant workloads.
Aligns the department's goals with the goals of the organization.
Maintains focus when handling several problems or tasks simultaneously.
Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to express own goals and needs.
Seeks to obtain consensus or compromise.
Develops a good rapport with others.
Ensures stakeholders are involved in the decision making process.
Communicates effectively with others.
Delegation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Clearly defines duties and tasks to be completed.
Defines goals and objectives for subordinates.
Assigns tasks to create learning opportunities for the employees.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Enthusiastic about taking on challenging projects.
Has strong technical/computer skills.
Strong organizational skills to keep the workspace and department in order
Takes responsibility for decisions.
High attention to detail.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps themselves and others focused on constant improvement.
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.
Takes a lot of pride in their work.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets performance objectives for subordinates that encourages development opportunities.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Creates a work environment that fosters positive feedback to employees.
Provides constructive feedback to others.
Encourages employees through recognition of positive changes in behavior.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Conducts regular performance appraisals and feedback.
Helps employees to understand responsibilities, authority, and expectations.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Addresses employee behavior problems effectively.
Provides clear, motivating, and constructive feedback.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Promotes the understanding of how the department affects the organization overall.
Creates value within the Company by building networks.
Maintains infrastructure to support partnerships and networks.
Seeks to reduce institutional roadblocks to information sharing.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Open to input from others into the plan for development of the strategic plan.
Determines the allocation of funds based on plans for future development.
Purchases equipment and software that will be needed in the future.
Assesses the risks of various strategic plans.
Establishes a course of action for self and others to accomplish specific goals.

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.