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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Thank you for your participation in the survey.

Management Team

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Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a workspace conducive to productivity through effective control of lighting, temperature, and noise levels.
Builds trust by being transparent, consistent, and approachable in communication.
Supports [Company]'s strategic objectives.
Builds belief in the company's resilience and capacity to lead in its industry.
Does the right thing, even when no one is watching.
Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps the supervisor informed about achievements and milestones.
Is willing to give feedback to others even if that feedback is critical of their approach.
Presents their message with professionalism.
Open to receiving feedback from others.
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.
Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes the initiative and does not wait for the situation to change.
Takes preemptive actions avoid obstacles or delays.
Addresses performance issues quickly.
Takes the initiative to address problems sooner rather than later.
Is not afraid to take corrective action when necessary.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Consciously controls own negative emotions in order to keep team morale up.
Steps away from a situation to process appropriate response.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Analyzes interpersonal problems instead of reacting to them.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Contributing fully to the extent of their skills
Keep themselves up-to-date of technical/professional issues
Quickly acquire and apply new knowledge and skills when needed
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for continuous learning.
Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Listens to employee input and adapts direction to reflect frontline realities.
Sets timelines, roles, responsibilities, and resources required to achieve the goal.
Balances competing priorities by allocating time based on impact and deadlines.
Gives direction to the department/organization.
Anticipates resource needs and secures them in advance to prevent delays.
Project Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Implements risk mitigation strategies to help move the project to successful completion.
Defines the project scope, goals, and resources.
Creates a risk management plan and periodically updates it as the project moves forward.
Defines project outcomes based on customer requirements.
Determines the correct order for the phases of the project.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Enthusiastic about taking on challenging projects.
Safely stores outdated documents for historical purposes or securely disposing of unneeded ones in compliance with organizational policies and regulations.
Sets up and oversees administrative policies and procedures for offices or organizations.
Answers the phone promptly and politely.
Makes travel arrangements and plans for executives.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses a consistent method to evaluate each potential solution against the defined criteria.
Weighs the pros and cons of proposed solutions.
Chooses a diverse group with relevant expertise and perspectives for a brainstorming session.
Compares analogous situations transferring insights to new situations.
Is smooth and seamless in transitions between different ideas and approaches, avoiding getting stuck in one line of thinking.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works cooperatively with others to implement changes.
Communicates the vision necessary to implement the changes for the department/organization.
Assesses market trends to determine the changes needed to maintain profitability.
Fosters an environment of flexibility and adaptability in employees to be able to work through changes.
Leads by example to show the employees the importance of making the necessary changes.

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.