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
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Understands how decisions impact other business units beyond their immediate department of work group.
Attends [Company] gatherings and social events.
Expresses loyalty and dedication to [Company] in interactions with others.
Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is an effective communicator
Presents issues, ideas, and strategy concisely and clearly.
Addresses issues of key importance to stakeholders.
Deals with difficult situations calmly and confidently.
Communicates effectively with colleagues and customers
Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Does whatever it takes (within reason) to get the job done.
Gets the job done.
Works quickly when faced with difficult problems.
Is not afraid to take corrective action when necessary.
Makes effective decisions, even when under pressure.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses patience and self-control in working with customers and associates.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Steps away from a situation to process appropriate response.
Consciously controls own negative emotions in order to keep team morale up.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks opportunities for continuous learning.
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.
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.
Maintains self-control when personally criticized.
Helps guide employees with prioritizing tasks.
Functions well under stress, deadlines, and/or significant workloads.
Stays focused even when under pressure and stress.
Project Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains costs and expenses within budget limits.
Develops action items, workplans, timelines, and criteria for projects.
Develops performance measures for various aspects of the project.
Inspires others to accomplish goals and objectives.
Works with customers and clients to assess their needs and define project parameters.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Strong organizational skills to keep the workspace and department in order
Accurately implements contract provisions.
Enthusiastic about taking on challenging projects.
Able to develop, justify and present a budget.
Completes reports on-time.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Solves problems using logic and insight.
Is a good problem solver and decision maker
Understands the root causes of problems.
Identifies and assesses all potential responses to a problem.
Effective in solving problems.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adopts changes to set and example for others to follow.
Supports new initiatives for organizational changes to improve effectiveness.
Addresses organizational and departmental resistance to changes.
Supports the Company's efforts to implement changes.
Assists others in understanding changes to the organization.

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.