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.
Produces high quality work.
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Arrives to meetings on time.
Invoices clients on a timely basis.
Maintains an efficient schedule of activities.
Avoids making personal phone calls during working hours.
Starts meetings on time.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Achieves more work within the limited time constraints.
Focuses on tasks that have high priority.
Bundles different tasks together if they can be done at the same time.
Maintains precise time logs for billing.
Stays undistracted by personal devices while on the clock.
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.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
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.
Maintains persistence and dedication to achieving 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.
Understands and is committed to implementing new technologies.
Proficient in the use of technical systems and processes.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the vision of the Company and promotes it ahead of any self-interests.
Communicates the vision and strategy of [Company]
Leads employees in new directions.
Communicates a vision of where the Company needs to be in the future.
Expresses the Company vision in a way that is easily understood and adopted by employees.

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.