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.
Open to the suggestions from others.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Analyzes processes to determine areas for improvement.
Looks for ways to expand and learn new job skills.
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
Contributing fully to the extent of their skills
Allows employees to fully participate in employee training and professional development.
Encourages employees to take courses relevant to their job.
Initiative	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks and utilizes opportunities for continuous learning and self-development.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Goes above and beyond the stated goals.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Immediately works to complete goals well before their deadline.
Technical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates mastery of the technical competencies required in his/her work.
Is knowledgeable of procedures or systems necessary for the job.
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.
Willingly shares his/her technical expertise; sought out as resource by others
Seeks information from others as needed.
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accurately determines appropriate risk levels (i.e., levels of acceptable risk).
Committed to implementing rules and procedures to minimize risk.
Seeks to increase safety in the workplace.
Knows how to obtain desired results with minimal losses.
Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Teamwork	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
Actively participates in the work of teams; seeks and listens to others' contributions
Relates to all kinds of people tactfully
Actively participates as a team member
Works cooperatively with others to solve problems.

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.