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.

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

Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Attends [Company] gatherings and social events.
Impresses upon others the important aspects of [Company].
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the use of [Company] products and services.
Understands how decisions impact other business units beyond their immediate department of work group.
Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Engages in clear communication with both senior and junior management.
Willing to express their concerns to colleagues.
Effectively delivers presentations to teams, large groups, and diverse audiences
Delivers messages with energy, enthusiasm, and conviction.
Mentors others on enhancing their written communication.
Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Avoids "Analysis Paralysis" through action.
Undertakes actions to achieve specific goals.
Fixes problems when they occur.
Creates opportunities and then takes advantage of them.
Sets high standards for themselves and others.
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.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Steps away from a situation to process appropriate response.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Uses patience and self-control in working with customers and associates.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Contributing fully to the extent of their skills
Allows employees to fully participate in employee training and professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
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
Sets appropriate goals for employees.
Makes sure that employees understand and identify with the team's mission.
Helps guide employees with prioritizing tasks.
Makes sure that employees understand how their work relates to organizational goals.
Functions well under stress, deadlines, and/or significant workloads.
Project Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Implements risk mitigation strategies to help move the project to successful completion.
Has detailed knowledge about the project and can adapt the project plan as needed.
Decides what metrics should be used as milestones for the project.
Uses appropriate software tools to assist in managing the project.
Anticipates potential problems and institutes controls and contingency plans to address them.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accurately implements contract provisions.
Completes reports on-time.
Enthusiastic about taking on challenging projects.
Takes responsibility for decisions.
Strong organizational skills to keep the workspace and department in order
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Ability to develop innovative solutions to problems.
Actively seeks the root cause of a problem.
Effective in solving problems.
Understands the root causes of problems.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is an inspiration for others to accept the recent changes.
Effective in dealing with ambiguous and challenging situations.
Works cooperatively with others to implement changes.
Inspires others to accept changes.
Supports new initiatives for organizational changes to improve effectiveness.

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.