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.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Edit this Survey

Would you like to edit this survey? Click here to begin.

Decision Making	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is open to listening to others who may have different ideas.
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Does not lose sight of the big picture when making decisions
Aligns choices with organizational goals by calculating expected value and costs.
Has a good rapport other people which is helpful in making decisions on the team.
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Coordinates the work of a team by assigning tasks to other team members.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Completes multiple tasks simultaneously.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Plans and organizes continuously while performing all other responsibilities and activities.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Establishes protocols for secure data transmission between departments and external regulators.
Conducts necessary risk assessments.
Strengthens employees' ability to appropriately handle compliance and ethics issues.
Uses operational compliance reports to evaluate the effectiveness of internal processes.
Submits complete applications for necessary certifications.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Delegates authority to employees and allows them to make their own decisions.
Gives responsibility for making important decisions to employees.
Encourages employees to take the initiative when responding to an issue.
Enables employees to take on more challenging roles.
Values the input from others.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works with others to develop insights into the resources and actions required to produce desired results.
Communicates with employees to find out their needs.
Creates a mission statement describing the purpose for the organization.
Observes stakeholder sentiment and engagement levels through direct and indirect feedback channels.
Develops a plan and strategy for each functional area within the mission statement.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a timeline to fulfill the organization's vision.
Cultivates an environment that embodies the department's vision.
Envisions and articulates a clear path for the department's accelerated growth over the next year.
Charts a bold course for the department's evolution.
Translates the department's vision into actionable objectives and a strategic plan.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to listen and understand others and discuss issues in a respectful way.
Applies knowledge of overseas markets.
Creates an environment where individual differences are valued and supported.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Engages in problem solving with individuals outside of the country.

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.