Developing Others- 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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Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes and celebrates accomplishments of others.
Creates opportunities for professional development.
Creates a work environment that fosters positive feedback to employees.
Assigns tasks and responsibilities to develop skills of others.
Assesses employees' developmental needs.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes and values good performance.
Ensures employees understand their performance expectations.
Is consistent in disciplinary/corrective actions.
Acknowledges employee contributions that support the bottom line.
Sets long and short term goals.
Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures stakeholders are involved in the decision making process.
Develops a good rapport with others.
Has excellent influencing/negotiating skills.
Attempts to persuade others rather than simply control them.
Communicates effectively with others.
Analytical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies deviations from stated goals and objectives.
Makes decisions based on solid, credible evidence rather than personal biases or preconceived notions.
Is willing to revise own views when presented with new, credible information.
Determines if sources of information are reputable, reliable, and credible.
Analyzes and consolidates data from several sources to develop logical insights.
Goals	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands & contributes to development of strategic goals.
Sets high expectations and goals; encourages others to support the organization.
Establishes and documents goals and objectives.
Goal Setting
Makes sure that team members have a clear idea of our group's goals.
Negotiation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a decisive, team-oriented environment; clarifies goals; and outlines a strategic agenda.
Collects information from various stakeholders, each with their own viewpoints, data, and interests.
Manages emotions to reduce the impact of negativity.
Clearly understands the interests and choices of both parties.
Keeps the negotiations constructive and focused on problem-solving rather than conflict.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Converses with customers and clients to get a better insight into their personal needs.
Develops a plan and strategy for each functional area within the mission statement.
Communicates with employees to find out their needs.
Analyzes unique issues or problems impacting the Company.
Identifies root causes of problems.

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.