Coworker Development- 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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Co-worker Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
Sets and clearly communicates expectations, performance goals, and measurements to others
Provides ongoing feedback to co-workers on their development progress
Gives others development opportunities through project assignments and increased job responsibilities
Adaptability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adjusts tactics when things are not working as expected.
Able to step in and help co-workers when needed.
Adjusts plans to meet the needs of new constraints.
Easily accepts new responsibilities.
Is flexible and open minded in dealing with others.
Integrity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Follows tasks to completion.
Maintains strong relationships with others.
Does what was promised.
Protects the integrity and confidentiality of information
Fosters a high standard of ethics and integrity.
Continual Learning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Pursues learning that will enhance job performance.
Takes the initiative to learn new skills.
Pursues professional development opportunities when they arise.
Shares best practices with others and learns from others.
Improves on their skill sets.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Arrives to meetings on time.
Responds to requests for information in a timely manner.
Maintains an efficient schedule of activities.
Avoids making personal phone calls during working hours.
Conducts appointments at scheduled start time.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is a calming force during stressful periods.
Encourages employees to achieve their full potential.
Is sought after for advice in a variety of situations.
Recognizes when employees have completed major milestones.
Determines appropriate staffing levels for the job.
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Has great overall performance
Listens and responds to issues and problems
Able to organize work.
Effectively organizes resources and plans
Effective in performing his/her job.
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyze what occurred and re-adjusts accordingly when goals are not met.
Identifies strategies and their associated risks to improve quality.
Quickly addresses changes in quality of the products.
Leads the department in quality improvement initiatives.
Able to create quality initiatives to be implemented organization-wide.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Determines the parts of the project that need completed first.
Makes changes to the plans if it will result in increased output.
Always willing to help coworkers to keep productions levels high.
Sets benchmarks and milestones to measure progress toward the objectives.
Identifies what needs to be accomplished.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands how decisions impact other business units beyond their immediate department of work group.
Attends [Company] gatherings and social events.
Understands the use of [Company] products and services.
Follows existing procedures and processes.
Understands the "basics" as to how [Company] functions/operates.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Determined to bring the strategic vision to fruition.
Transforms the current vision into clear objectives and a strategic roadmap.
Channels team activities towards the vision's core aspects.
Enables employees to commit to the departmental vision.
Skilled at identifying problems and envisioning effective solutions.

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

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

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for [Participant Name Here]'s assessment.