Entrepreneurship- 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

Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Devotes a certain amount of time and effort to developing new business opportunities.
Finds unique ways to go around barriers to success.
Is comfortable operating in an environment of uncertainty.
Exhibits determination and passion in completion of goals.
Balances risks and rewards when making decisions.
Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Delegate tasks effectively
Keep staff informed about what is happening in the company
Sets an example for others to follow
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes sure commitments are understood and met.
Ensures team members receive rewards for positive performance accomplishments.
Recognizes and values good performance.
Ensures team members understand the department goals.
Routinely holds audits of performance on a weekly or monthly basis.
Delegation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Defines goals and objectives for subordinates.
Allows subordinates to use their own methods and procedures.
Clearly defines duties and tasks to be completed.
Entrusts subordinates with important tasks.
Sets clear and reasonable expectations for others and follows through on their progress.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
Keeps themselves and others focused on constant improvement.
Is planful and organized.
Produces high quality work.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is professional and courteous in interactions with auditors and regulators.
Knows who to contact at various regulatory agencies if needed.
Addresses issues quickly before they develop into major problems.
Is aware of the documents and reports needed to maintain compliance with regulations.
Offers training on various subjects to help ensure employees are aware of regulations.
Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes care to maintain confidential information.
Is a person you can trust.
Consistently keeps commitments.
Demonstrates congruence between statements and actions.
Delivers on promises made.
Conflict Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies and takes steps to prevent potential confrontations.
Helps employees to think through alternative ways to resolve conflict situations.
Tries to understand others' point of view before making judgments
Discusses conflict situations with supervisor.
Assists team members by helping them see the other point of view.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes team members who offer a significant contribution to a project.
Finds opportunities to recognize others.
Makes people around them feel appreciated and valued.
Compliments other people when they do good work
Recognizes individuals for a specific outstanding achievement.

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

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

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.