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
Looks for ways to improve work processes and procedures.
Looks for ways to expand and learn new job skills.
Open to the suggestions from others.
Promotes training and development opportunities to enhance job performance.
Analyzes processes to determine areas for improvement.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Quickly acquire and apply new knowledge and skills when needed
Contributing fully to the extent of their skills
Seeks opportunities for continuous learning.
Seeks opportunities for professional development.
Allows employees to fully participate in employee training and professional development.
Initiative	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates what needs to be done and makes necessary preparations.
Takes on extra projects after required work is completed.
Takes the initiative to change the direction or course of events.
Takes action to implement new changes in the policies and procedures.
Looks to start work on new projects without waiting for direction from the manager.
Technical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Knows how to produce high quality products/work.
Demonstrates mastery of the technical competencies required in his/her work.
Willingly shares information and expertise; sought out as resource by others
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Seeks information from others as needed.
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a risk management strategy for the department.
Performs a risk analysis as needed.
Tracks risks in a project.
Accurately perceives potential risks in the workplace and initiates preventative measures.
Rewards innovative experiments to try new ideas.
Teamwork	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Facilitates effective teamwork during periods of change.
Creates a culture that fosters and values collaboration.
Shares resources and information with the team.
Facilitates good rapport between team members.
Makes eye contact when listening to colleagues.

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.