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.

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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Follows existing procedures and processes.
Impresses upon others the important aspects of [Company].
Understands the use of [Company] products and services.
Attends [Company] gatherings and social events.
Understands the "basics" as to how [Company] functions/operates.
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)
Communicates effectively with all levels of the organization.
Delivers influential presentations.
Listens to others' points of view with an open mind
Communicates effectively with colleagues and customers
Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes preemptive actions avoid obstacles or delays.
Is not afraid to take corrective action when necessary.
Effectively handles multiple complex issues simultaneously.
Gladly accepts new challenges and works on them with urgency.
Converts plans into actions.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Consciously controls own negative emotions in order to keep team morale up.
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 interpersonal problems instead of reacting to them.
Uses patience and self-control in working with customers and associates.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keep themselves up-to-date of technical/professional issues
Contributing fully to the extent of their skills
Encourages employees to take courses relevant to their job.
Seeks opportunities for continuous learning.
Quickly acquire and apply new knowledge and skills when needed
Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Excellent at managing time.
Aligns the department's goals with the goals of the organization.
Makes sure that employees understand and identify with the team's mission.
Helps guide employees with prioritizing tasks.
Maintains focus when handling several problems or tasks simultaneously.
Project Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Plans and implements responses to potential threats to the success of the project.
Meets with stakeholders to determine the requirements for the project.
Develops a plan for resource management.
Communicates with the necessary stakeholders if the budget targets are missed.
Organizes work and sets priorities as needed.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Implements and uses performance measures.
Accurately implements contract provisions.
Able to develop, justify and present a budget.
Has strong technical/computer skills.
Takes responsibility for decisions.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies and assesses all potential responses to a problem.
Works cooperatively with others to solve problems.
Ability to solve problems at root cause rather than at symptom level.
Actively seeks the root cause of a problem.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Assists others in understanding changes to the organization.
Facilitates change with minimal resistance.
Able to get team members to change their attitudes.
Works cooperatively with others to implement changes.
Effective in implementing new organizational vision and values.

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.