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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates the analytical skills to do their job.
Can be counted on to add value wherever they are involved.
Takes a lot of pride in their work.
Produces high quality work.
Demonstrates the functional or technical skills necessary to do their job.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Responds to requests for information in a timely manner.
Starts meetings on time.
Avoids making personal phone calls during working hours.
Invoices clients on a timely basis.
Arrives to meetings on time.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Delegates simple tasks to employees so the manager can focus on more complex tasks.
Remains dedicated to completing high priority work.
Stays focused on the most important tasks that need completed.
Often arrives at work early to get the day started.
Prefers to utilize automated workflows.
Commitment To Result	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Committed to the team.
Encourages commitment in others to obtain results.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Maintains persistence and dedication to achieving results.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports technical training and development of employees.
Supports employee training and development initiatives regarding implementation of technology.
Understands and is committed to implementing new technologies.
Proficient in the use of technical systems and processes.
Adopts the implementation of new technology into the workplace.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Skilled at identifying problems and envisioning effective solutions.
Creates a workplace culture that reflects the organizational vision.
Inspires employees to support the departmental vision.
Communicates the vision effectively across the organization to motivate and guide employees.
Entrusts team members with executing the vision.

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.