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

Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the use of [Company] products and services.
Understands the "basics" as to how [Company] functions/operates.
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.
Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Confidently communicates across all organizational levels, including external stakeholders.
Articulates ideas and emotions clearly to others.
Keeps open and regular communication with others.
Approachable, dependable, and ready to assist when needed.
Visible and approachable; is there when you need them.
Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates innovative products and services.
Takes steps to prepare for the start of the project.
Makes decisions confidently and stands by them.
Is not afraid to take corrective action when necessary.
Takes responsibility for meeting performance standards.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Analyzes interpersonal problems instead of reacting to them.
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.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
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
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
Maintains self-control when personally criticized.
Makes sure that employees understand and identify with the team's mission.
Makes sure that employees understand how their work relates to organizational goals.
Functions well under stress, deadlines, and/or significant workloads.
Aligns the department's goals with the goals of the organization.
Project Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates the implementation strategy for the project.
Ensures resources are utilized at the appropriate levels for each phase of the project.
Coordinates timelines, events and tasks with various sub-groups within the project.
Uses appropriate software tools to assist in managing the project.
Identifies the project time and budget constraints.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accurately implements contract provisions.
Strong organizational skills to keep the workspace and department in order
High attention to detail.
Enthusiastic about taking on challenging projects.
Implements and uses performance measures.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Actively seeks the root cause of a problem.
Identifies and assesses all potential responses to a problem.
Finds creative ways to get things done with limited resources.
Able to balance the needs of different people in a solution to a problem.
Makes judgments based upon relevant information.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Addresses organizational and departmental resistance to changes.
Effective in implementing new organizational vision and values.
Supports new initiatives for organizational changes to improve effectiveness.
Inspires others to want to change.
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.