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
Provides ongoing feedback to co-workers on their development progress
Works to identify root causes of performance problems
Gives others development opportunities through project assignments and increased job responsibilities
Sets and clearly communicates expectations, performance goals, and measurements to others
Takes immediate action on poor performance
Adaptability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is proactive and takes steps to prepare for changes in the workplace.
Adjusts priorities to changing business goals.
Able to adapt to changes in technology and processes.
Recognizes and implements changes to enhance efficiency and effectiveness.
Learns from personal experiences and/or mistakes.
Integrity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains strong relationships with others.
Demonstrates honesty and truthfulness at all times.
Demonstrates sincerity in actions with others.
Fosters an environment built upon trust.
Fosters a high standard of ethics and integrity.
Continual Learning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Grasps new ideas, concepts, technical, or business knowledge.
Shares best practices with others and learns from others.
Takes the initiative to learn new skills.
Seeks opportunities to grow in skills and knowledge.
Builds on their strengths while addressing their weaknesses.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Arrives to meetings on time.
Avoids making personal phone calls during working hours.
Invoices clients on a timely basis.
Responds to requests for information in a timely manner.
Starts meetings on time.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Treats all staff equitably.
Encourages employees to achieve their full potential.
Is aware of the unique strengths of each employee.
Maintains good working relationships with employees.
Provides constructive, ongoing feedback.
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
...Produce Quality
Effectively organizes resources and plans
Sets a high standard for job performance.
Works effectively in the department.
Shown significant improvement in job performance.
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees to produce the best quality products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Holds employees accountable for their quality of work.
Corrects issues in a timely manner.
Encourages others to achieve high quality standards.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Explains the "whys" behind organizational objectives
Works toward achievement of goals even when confronted with obstacles.
Provides clear expectations for employees.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Inspires and motivates co-workers to be productive and energetic at work
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the use of [Company] products and services.
Understands the "basics" as to how [Company] functions/operates.
Understands how decisions impact other business units beyond their immediate department of work group.
Attends [Company] gatherings and social events.
Expresses loyalty and dedication to [Company] in interactions with others.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates a vision of where the Company needs to be in the future.
Demonstrates consistency between words and actions
Understands the vision of the Company and promotes it ahead of any self-interests.
Persuades others to follow the Company's vision.
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.