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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Assesses employees' developmental needs.
Supports the successes of other employees.
Is open to receiving feedback.
Assigns tasks and responsibilities to develop skills of others.
Sets performance objectives for subordinates that encourages development opportunities.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Increases responsibilities for high performing individuals.
Monitors progress to ensure performance goals are being met.
Ensures Job Descriptions are up to date and accurate.
Establishes standards for expected performance.
Assigns tasks and responsibilities and holds employees accountable for actions.
Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Has excellent influencing/negotiating skills.
Able to express own goals and needs.
Ensures stakeholders are involved in the decision making process.
Understanding what others need.
Attempts to persuade others rather than simply control them.
Analytical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Prioritizes various actions to be taken when solving a problem.
Balances risks and costs with the rewards and probabilities of success when decisions.
Identifies the root cause of a problem.
Implements data validation techniques and methods.
Identifies problems and issues needing resolution.
Goals	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Achieves goals.
Makes sure that team members have a clear idea of our group's goals.
Makes sure that I have a clear idea of our group's goals.
Achieves established goals.
Sets high expectations and goals; encourages others to support the organization.
Negotiation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to clearly express thoughts and concerns.
Maintains communication channels between parties in the negotiation.
Changes communication styles to meet the listener's needs.
Able to adapt to changing situations.
Actively listens to conversations to be able to recall important details later.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Strategically aligns projects to the goals of the company.
Adjusts strategic plans based on insights gathered from different points of view.
Pursues strategic alliances with valued partners.
Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
Analyzes records and reports to obtain insight into potential issues and trends.

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.