Excellence - 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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Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps themselves and others focused on constant improvement.
Takes a lot of pride in their work.
Produces high quality work.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Avoids making personal phone calls during working hours.
Starts meetings on time.
Maintains an efficient schedule of activities.
Responds to requests for information in a timely manner.
Conducts appointments at scheduled start time.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses time efficiently to achieve higher productivity.
Maximizes time management by multitasking.
Uses a calendar effectively to keep track of when events or milestones are supposed to occur.
Utilizes batch workflows to reduce time spent on certain tasks.
Eliminates tasks that are unimportant for the job.
Commitment To Result	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Willing to do whatever it takes-not afraid to have to put in extra effort.
Coordinates all department activities into a cohesive team effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Able to focus on a task even when working alone.
Encourages commitment in others to obtain results.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses technology in decision making and problem solving.
Applies complex rules and regulations to maintain optimal system performance.
Supports technical training and development of employees.
Understands and is committed to implementing new technologies.
Supports employee training and development initiatives regarding implementation of technology.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a common vision for others.
Diagnoses issues and envisions solutions.
Creates a vision to align corporate strategies with the organization's value system.
Creates a crystal-clear vision for where the department needs to be in the next 12 months.
Transforms the current vision into clear objectives and a strategic roadmap.

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

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

    
    
32. Strengths
    
    
    
33. Areas for Development
    
    
    
34. Please give any final comments or suggestions for [Participant Name Here]'s assessment.