Company- 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.

Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the "basics" as to how [Company] functions/operates.
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.
Provides the reasoning behind choices and actions.
Gives clear and convincing presentations.
Engages in clear communication with both senior and junior management.
Welcomes input and suggestions from others.
Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Leverages skills and resources to exceed expectations on projects.
Demonstrates resilience in the face of adversity.
Leverages skills and resources to exceed performance expectations.
Takes action in critical situations.
Works quickly to get the job done.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Does not allow own emotions to interfere with the performance of others.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for professional development.
Contributing fully to the extent of their skills
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Allows employees to fully participate in employee training and professional development.
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.
Maintains self-control when personally criticized.
Maintains focus when handling several problems or tasks simultaneously.
Makes sure that employees understand how their work relates to organizational goals.
Project Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the budget constraints for the project.
Ensures the project is executed on time and on budget.
Procures the resources necessary to complete the project.
Understands what software tools are available to be used to manage the project.
Ensures work is completed to the appropriate standards.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Strong organizational skills to keep the workspace and department in order
Has strong technical/computer skills.
Accurately implements contract provisions.
High attention to detail.
Enthusiastic about taking on challenging projects.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Brings together individuals with different backgrounds, skills, and viewpoints, brainstorming harnesses a wide range of insights.
Communicates goals and the present situation to ensure everyone understands the problem.
Solves difficult problems with ease.
Establishes a timeline for implementation and organizes the needed supplies and equipment.
Evaluates alternative courses of action.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works cooperatively with others to implement changes.
Develops plans for following through on the changes.
Effective in implementing new organizational vision and values.
Supports the Company's efforts to implement changes.
Inspires others to want to change.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.