Continuous Learning - 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

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Continuous Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates space for employees to test ideas and experiment with new approaches without fear of blame.
Drives higher throughput by fine-tuning machine operations.
Proactively addresses risks that decrease productivity.
Ensures employees are properly trained for their positions.
Verifies readiness (tools, information, and conditions) before work begins to support first-time accuracy.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees to take courses relevant to their job.
Quickly acquire and apply new knowledge and skills when needed
Allows employees to fully participate in employee training and professional development.
Keep themselves up-to-date of technical/professional issues
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Initiative	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Builds strong interpersonal relationships upon first meeting.
Initiates the development of new products.
Cleans the workspace without being told.
Proactively identifies and removes barriers that inhibit progress without waiting for direction.
Updates the documentation as soon as the situation changes.
Technical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Monitors technical risk assessment issues that may impact the organization.
Develops multi-phase implementation plans that align with evolving technical requirements and business goals.
Designs controlled experiments (A/B tests, canary releases) to validate changes.
Analyzes test results and iterates on solutions based on evidence.
Adapts new technologies to better meet the needs of the department.
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Increases business resilience.
Accurately determines appropriate risk levels (i.e., levels of acceptable risk).
Clarifies expectations when new or updated risk procedures are introduced.
Implements changes to reduce the chances of critical incidents in the future.
Seeks to increase safety in the workplace.
Teamwork	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Finds opportunities to recognize and reward team members.
Committed to the successful completion of team goals.
Willing to listen to the ideas of other team members.
Coaches team members to work toward a common goal.
Joins with other team members to brainstorm solutions to the problem.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
32. Strengths
    
    
    
33. Areas for Development
    
    
    
34. Please give any final comments or suggestions for [Participant Name Here]'s assessment.