Decision Making - 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

Decision Making	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Does not lose sight of the big picture when making decisions
Facilitates meetings with others to try to consider alternative courses of action.
Uses reasonable assumptions and logic to decide between alternate courses of action
Evaluates information before making a final decision.
Decides which short- and long-term goals should be created.
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Plans and organizes continuously while performing all other responsibilities and activities.
Builds in extra time in the schedule for unplanned events/occurrences.
Ranks the importance of tasks to make sure critical tasks are completed first.
Uses a scheduler/planner to keep tasks organized and on time.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains compliance with federal, state, and local laws.
Keeps track of changes in legislation affecting regulatory compliance.
Ensures regulations are followed as required.
Creates documents and reports as needed to maintain compliance with regulations.
Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets clear goals for others to accomplish.
Expresses confidence in the abilities of others.
Lets employees complete tasks according to their methods.
Encourages others to obtain necessary skills and training.
Trusts employees to complete tasks assigned.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Formulates policies and strategies for addressing the Company's important challenges.
Maintains knowledge of current trends in the industry.
Identifies potential problems before they become critical incidents.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Expresses the Company vision in a way that is easily understood and adopted by employees.
Clearly articulates a vision for his/her work and inspires others to support it
Creates a common vision for others.
Understands the vision of the Company and promotes it ahead of any self-interests.
Develops action plans to align his/her work with the goals of the organization
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works well with others from different cultural backgrounds.
Respects individual differences.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Communicates effectively on a multi-lingual basis.
Has positive interactions with individuals from different cultures and backgrounds.

36. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for [Participant Name Here]'s assessment.