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.

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

Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Assigns tasks and responsibilities to develop skills of others.
Encourages employees through recognition of positive changes in behavior.
Tries to ensure employees are ready to move to the next level.
Provides constructive feedback to others.
Recognizes and celebrates accomplishments of others.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Establishes indicators to measure levels of performance.
Makes sure commitments are understood and met.
Measures performance of goals and objectives.
Obtains commitment from employees regarding completion of tasks.
Provides employees with training as needed to increase their performance.
Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates effectively with others.
Seeks to obtain consensus or compromise.
Persuades others to consider alternative points of view.
Able to express own goals and needs.
Ensures stakeholders are involved in the decision making process.
Analytical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses appropriate techniques to solve problems.
Identifies the root cause of a problem.
Analyzes issues and reduces them to their component parts.
Balances risks and costs with the rewards and probabilities of success when decisions.
Identifies opportunities for progress and innovation.
Goals	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes sure that I have a clear idea of our group's goals.
Goal Setting
Makes sure that team members have a clear idea of our group's goals.
Understands & contributes to development of strategic goals.
Achieves established goals.
Negotiation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Changes communication styles to meet the listener's needs.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Stays calm and focuses on the core issues to be discussed.
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
Maintains knowledge of current trends in the industry.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Creates strategies that significantly benefit the Company.
Identifies root causes of problems.
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.