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
Sets and clearly communicates expectations, performance goals, and measurements to others
Provides ongoing feedback to co-workers on their development progress
Works to identify root causes of performance problems
Adaptability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to respond to incidents without stopping the workflow.
Adjusts priorities to changing business goals.
Responsive to the needs of others.
Adjusts plans and procedures.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Integrity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accepts responsibility for mistakes.
Follows tasks to completion.
Demonstrates sincerity in actions with others.
Develops trust and confidence from others.
Does what was promised.
Continual Learning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes charge of their training and skills enhancement.
Sets relevant learning objectives and goals.
Improves on their skill sets.
Participates in regular training offered.
Builds on their strengths while addressing their weaknesses.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Responds to requests for information in a timely manner.
Maintains an efficient schedule of activities.
Conducts appointments at scheduled start time.
Starts the workday when scheduled.
Arrives to meetings on time.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Offers non-monetary rewards as incentives for employees.
Completes assessments in a timely manner.
Fosters a positive work environment in the department.
Encourages good working relationships between employees.
Appropriately recognizes and rewards employees.
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works well in this position.
Effectively organizes resources and plans
Has great overall performance
Able to organize work.
...Produce Quality
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees to produce the best quality products.
Encourages others to produce the highest quality work products.
Holds employees accountable for their quality of work.
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
Works toward achievement of goals even when confronted with obstacles.
Inspires and motivates co-workers to be productive and energetic at work
Helps others when free-time is available.
Does not become distracted by non-issues or interruptions.
Stays focused on meeting the needs of customers.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Follows existing procedures and processes.
Understands the use of [Company] products and services.
Impresses upon others the important aspects of [Company].
Attends [Company] gatherings and social events.
Understands the "basics" as to how [Company] functions/operates.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates a vision of where the Company needs to be in the future.
Clearly articulates a vision for his/her work and inspires others to support it
Communicates the vision and strategy of [Company]
Creates a common vision for others.
Persuades others to follow the Company's vision.

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.