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
Understands the use of [Company] products and services.
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
Attends [Company] gatherings and social events.
Impresses upon others the important aspects of [Company].
Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
An effective listener who is responsive to information needs.
Is an effective communicator
Gives clear and convincing presentations.
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Asks follow-up questions as needed.
Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is not afraid to take corrective action when necessary.
Drives and mobilizes others progress toward goals.
Works quickly when faced with difficult problems.
Effectively makes decisions
Makes effective decisions, even when under pressure.
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.
Does not allow own emotions to interfere with the performance of others.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Steps away from a situation to process appropriate response.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees to take courses relevant to their job.
Seeks opportunities for continuous learning.
Allows employees to fully participate in employee training and professional development.
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Stays focused even when under pressure and stress.
Helps guide employees with prioritizing tasks.
Maintains focus when handling several problems or tasks simultaneously.
Excellent at managing time.
Sets appropriate goals for employees.
Project Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops performance measures for various aspects of the project.
Regularly reviews project performance and goals.
Inspires others to accomplish goals and objectives.
Works with customers and clients to assess their needs and define project parameters.
Responds quickly and appropriately to unforeseen problems.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to develop, justify and present a budget.
Enthusiastic about taking on challenging projects.
Accurately implements contract provisions.
Strong organizational skills to keep the workspace and department in order
Implements and uses performance measures.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ability to develop innovative solutions to problems.
Makes judgments based upon relevant information.
Is a good problem solver and decision maker
Effective in solving problems.
Finds creative ways to get things done with limited resources.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is a leading force driving changes.
Effective in dealing with ambiguous and challenging situations.
Develops plans for following through on the changes.
Is an inspiration for others to accept the recent changes.
Able to get team members to change their attitudes.

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.