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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Co-worker Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works to identify root causes of performance problems
Sets and clearly communicates expectations, performance goals, and measurements to others
Provides ongoing feedback to co-workers on their development progress
Takes immediate action on poor performance
Gives others development opportunities through project assignments and increased job responsibilities
Adaptability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is open to new ideas and innovations.
Is aware of changes to team personnel.
Learns from personal experiences and/or mistakes.
Is proactive and takes steps to prepare for changes in the workplace.
Is open to change and adjusts plans when needed.
Integrity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Fosters an environment built upon trust.
Accepts responsibility for mistakes.
Demonstrates sincerity in actions with others.
Develops trust and confidence from others.
Demonstrates honesty and truthfulness at all times.
Continual Learning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is open to new ideas and concepts.
Improves on their skill sets.
Takes charge of their training and skills enhancement.
Sets relevant learning objectives and goals.
Seeks opportunities to grow in skills and knowledge.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Starts the workday when scheduled.
Arrives to meetings on time.
Maintains an efficient schedule of activities.
Conducts appointments at scheduled start time.
Avoids making personal phone calls during working hours.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Empowers employees to make their own decisions in the field.
Enhances teamwork through good supervision.
Knows the best ways to communicate effectively with different types of employees.
Meets with employees at the end of the job to debrief them.
Implements disciplinary policy in accordance with the union contract
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Has great overall performance
Able to organize work.
Listens and responds to issues and problems
...Overall Performance
Effectively organizes resources and plans
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is flexible in addressing issues related to quality.
Creates a culture of quality standards in the workplace.
Communicates quality standards clearly.
Ensures the hiring of employees that have a quality focus.
Regularly measures product specifications to ensure uniformity and quality control.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works hard despite obstacles that impede progress.
Directs team in prioritizing daily work activities
Determines the best approach to achieving the expected results.
Flexible and willing to change the strategy to better achieve the objectives.
Sets a common goals for the team.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Attends [Company] gatherings and social events.
Follows existing procedures and processes.
Understands the use of [Company] products and services.
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Turns the department's vision into defined objectives and a strategic framework.
Converts the department's vision into specific goals and a strategic plan.
Shapes strategies that resonate with the department's shared vision.
Communicates a vision of where the Company needs to be in the future.
Provides the vision needed to help the organization remain competitive and adaptable in a dynamic market.

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.