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Company- 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Surveys Measuring Company:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

Sample Result Document:
Sample Results
Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team



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Company

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Follows existing procedures and processes.
  1. Understands the use of [Company] products and services.
  1. Impresses upon others the important aspects of [Company].
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Understands the "basics" as to how [Company] functions/operates.


Communication Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Keeps an open-door policy to provide support and guidance.
  1. Implements performance appraisals focused on employee development using SMART criteria
  1. Willing to express their concerns to colleagues.
  1. Presents issues, ideas, and strategy concisely and clearly.
  1. Makes the complex simple.


Action

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Avoids "Analysis Paralysis" through action.
  1. Persists in work despite obstacles encountered.
  1. Ensures timely completion of tasks.
  1. Successfully identifies the right person for a job when distributing tasks.
  1. Completes tasks on time in spite of delays in the process.


Self Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Does not allow own emotions to interfere with the performance of others.
  1. Steps away from a situation to process appropriate response.
  1. Uses patience and self-control in working with customers and associates.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. 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
  1. Allows employees to fully participate in employee training and professional development.
  1. Seeks opportunities for professional development.
  1. Seeks opportunities for continuous learning.
  1. Encourages employees to take courses relevant to their job.
  1. Contributing fully to the extent of their skills


Establishing Focus/Direction

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Makes sure that employees understand how their work relates to organizational goals.
  1. Excellent at managing time.
  1. Makes sure that employees understand and identify with the team's mission.
  1. Sets appropriate goals for employees.
  1. Maintains self-control when personally criticized.


Project Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Estimates the duration for each phase of the project.
  1. Determines the appropriate strategy for mitigating specific risks.
  1. Uses appropriate technology to efficiently communicate with team members.
  1. Communicates with all employees involved on the project.
  1. Engages with individuals internally and externally to support the implementation of the project.


Administrative Skill

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Strong organizational skills to keep the workspace and department in order
  1. Has strong technical/computer skills.
  1. Completes reports on-time.
  1. Enthusiastic about taking on challenging projects.
  1. Able to develop, justify and present a budget.


Problem Solving

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Solves problems that require several different criteria or constraints.
  1. Is a good problem solver and decision maker.
  1. Works cooperatively with others to solve problems.
  1. Gathers relevant data to track the solution's performance and identify any trends or patterns.
  1. Evaluates alternative courses of action.


Change Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Addresses organizational and departmental resistance to changes.
  1. Works cooperatively with others to implement changes.
  1. Develops plans for following through on the changes.
  1. Effective in dealing with ambiguous and challenging situations.
  1. Able to get team members to change their attitudes.



  1. Overall, please rate the effectiveness of [Participant Name Here].






  2. Strengths


  3. Areas for Development


  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.