Continual 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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to improve work processes and procedures.
Open to the suggestions from others.
Looks for ways to expand current job responsibilities.
Analyzes processes to determine areas for improvement.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks opportunities for professional development.
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for continuous learning.
Keep themselves up-to-date of technical/professional issues
Allows employees to fully participate in employee training and professional development.
Initiative	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks to start work on new projects without waiting for direction from the manager.
Initiates new projects for the department.
Seeks and utilizes opportunities for continuous learning and self-development.
Takes on extra projects after required work is completed.
Able to initiate work on projects independently without direct supervision.
Technical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Willingly shares his/her technical expertise; sought out as resource by others
Knows how to produce high quality products/work.
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Seeks information from others as needed.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Committed to implementing rules and procedures to minimize risk.
Offers training to reduce safety incidents in the workplace.
Gathers information regarding potential risks.
Maintains open communication with other departments.
Attends risk management seminars and conferences.
Teamwork	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates a clear message that teamwork and collaboration are expected.
Actively and openly participates in group meetings.
Relates to all kinds of people tactfully
Encourages teamwork and collaboration.
Act as an effective team player

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.