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

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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
Gives others development opportunities through project assignments and increased job responsibilities
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
Adaptability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses tools in innovative ways to solve problems.
Is proactive and takes steps to prepare for changes in the workplace.
Able to adjust plans as needed for implementation of projects.
Adjusts plans and procedures.
Adjusts plans to meet the needs of new constraints.
Integrity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates self-control, emotional maturity, and integrity by maintaining composure and responding courteously, even when faced with rude behavior.
Ensures performance evaluations are conducted using standardized and objective criteria, preserving the integrity of the evaluation system.
Respects others as a demonstration of integrity and a core ethical principle of fairness and justice.
Owns up to errors proactively, taking responsibility for shortcomings, and addressing them openly and ethically.
Builds respect and trust by setting high standards of integrity.
Continual Learning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Pursues professional development opportunities when they arise.
Is open to new ideas and concepts.
Takes the initiative to learn new skills.
Takes charge of their training and skills enhancement.
Builds on their strengths while addressing their weaknesses.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Starts the workday when scheduled.
Avoids making personal phone calls during working hours.
Starts meetings on time.
Arrives to meetings on time.
Maintains an efficient schedule of activities.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is able to motivate others through persuasion rather than coercion.
Reviews performance against established measures.
Facilitates conversations where each person can be heard.
Provides clear expectations of outcomes during performance reviews.
Conveys instructions, directives and guidelines to the employees.
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works well in this position.
Shown significant improvement in job performance.
Sets a high standard for job performance.
Listens and responds to issues and problems
...Produce Quality
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Evaluates and improves the quality of services and products.
Identifies strategies and their associated risks to improve quality.
Makes sure cleanliness standards are met to reduce the possibility of contamination.
Works with precision and attention to detail.
Able to create quality initiatives to be implemented organization-wide.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Completed work exceeds standards.
Addresses underperformance promptly and constructively, focusing on solutions.
Has a work ethic with a strong desire to obtain results.
Adjusts plans based on performance trends, stakeholder feedback, or changing conditions.
Consistently meets deadlines and follows through on commitments, even when tasks require extra effort.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes the necessary adjustments to our product lines to ensure that we maintain or grow our market share.
Does the right thing, even when no one is watching.
Maintains positive relationships between the [Company] and the community.
Offers leadership that inspires bold thinking and long-term impact.
Enforces the workplace health and safety policies to ensure that all employees are given a safe place to work.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies emerging trends and anticipates future market shifts.
Creates a crystal-clear vision for where the department needs to be in the next 12 months.
Demonstrates consistency between words and actions
Shapes strategies that resonate with the department's shared vision.
Provides vision and strategies to the team.

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.