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
Sets and clearly communicates expectations, performance goals, and measurements to others
Works to identify root causes of performance problems
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
Adaptability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adjusts plans to meet new situations.
Effective in working with different personnel of the team.
Is flexible when dealing with changes.
Flexible and open to new ideas and encourages others to recognize the value of change.
Is open to new ideas and innovations.
Integrity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Establishes relationships of trust, honesty, fairness, and integrity.
Demonstrates sincerity in actions with others.
Fosters an environment built upon trust.
Develops trust and confidence from others.
Accepts responsibility for mistakes.
Continual Learning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Pursues self-improvement through continual learning.
Grasps new ideas, concepts, technical, or business knowledge.
Takes the initiative to learn new skills.
Shares best practices with others and learns from others.
Takes charge of their training and skills enhancement.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Arrives to meetings on time.
Invoices clients on a timely basis.
Conducts appointments at scheduled start time.
Avoids making personal phone calls during working hours.
Responds to requests for information in a timely manner.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Fosters a culture of personal responsibility and accountability.
Contributes to a productive work environment for the team.
Instructs employees on the safest way to perform tasks.
Asks employees for their ideas and opinions.
Knows the best ways to communicate effectively with different types of employees.
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effectively organizes resources and plans
Works well in this position.
Listens and responds to issues and problems
Sets a high standard for job performance.
Able to organize work.
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Quickly addresses changes in quality of the products.
Regularly measures product specifications to ensure uniformity and quality control.
Develops measures of the success of quality initiatives.
Reflects on what is working and what could be improved.
Adjusts processes or procedures to improve quality results.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Removes bureaucratic barriers to streamline processes.
Views obstacles as opportunities to improve self.
Achieves high levels of performance.
Has a strong drive to complete goals despite obstacles that may arise.
Plans the best course of action to achieve the goal.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Follows existing procedures and processes.
Impresses upon others the important aspects of [Company].
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the "basics" as to how [Company] functions/operates.
Understands the use of [Company] products and services.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a common vision for others.
Focuses efforts on implementing the organization's strategic vision.
Leads with a growth-oriented mindset, driving innovation and expansion.
Charts a bold course for the department's rapid evolution and expansion.
Supports a positive vision for the future that increases market share and the bottom line.

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.