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

Co-worker Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes immediate action on poor performance
Gives others development opportunities through project assignments and increased job responsibilities
Adapts coaching and mentoring approach to meet the style or needs of individuals
Works to identify root causes of performance problems
Sets and clearly communicates expectations, performance goals, and measurements to others
Adaptability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is open to new ideas and innovations.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Can take on new assignments.
Able to adjust to changes as needed.
Adapts to new environments.
Integrity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Protects the integrity and confidentiality of information
Does what was promised.
Maintains strong relationships with others.
Accepts responsibility for mistakes.
Fosters a high standard of ethics and integrity.
Continual Learning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Views setbacks as opportunities to learn from.
Sets relevant learning objectives and goals.
Seeks opportunities to grow in skills and knowledge.
Improves on their skill sets.
Pursues professional development opportunities when they arise.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Invoices clients on a timely basis.
Maintains an efficient schedule of activities.
Responds to requests for information in a timely manner.
Starts meetings on time.
Avoids making personal phone calls during working hours.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes decisions based on all relevant information.
Meets with employees at the end of the job to debrief them.
Provides clear expectations of outcomes during performance reviews.
Intervenes immediately if disciplinary action is warranted.
Maintains disciplinary policy and fair enforcement of work rules
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Listens and responds to issues and problems
Shown significant improvement in job performance.
Works well in this position.
Has great overall performance
Sets a high standard for job performance.
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages others to produce the highest quality work products.
Holds employees accountable for their quality of work.
Encourages employees to produce the best quality products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Encourages others to achieve high quality standards.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets priorities for tasks to be completed.
Has a strong result orientation.
Makes changes to the plans if it will result in increased output.
Exceeds performance requirements.
Works toward achievement of goals even when confronted with obstacles.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the use of [Company] products and services.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the "basics" as to how [Company] functions/operates.
Impresses upon others the important aspects of [Company].
Understands how decisions impact other business units beyond their immediate department of work group.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Expresses the Company vision in a way that is easily understood and adopted by employees.
Understands the vision of the Company and promotes it ahead of any self-interests.
Develops action plans to align his/her work with the goals of the organization
Communicates a vision of where the Company needs to be in the future.
Behaves in a way that is consistent with business values & code of conduct

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.