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

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.
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Starts the workday when scheduled.
Starts meetings on time.
Conducts appointments at scheduled start time.
Responds to requests for information in a timely manner.
Maintains an efficient schedule of activities.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Completes tasks ahead of schedule.
Prioritizes new tasks according to their relative importance.
Avoids distractions in the workplace.
Sets a good balance between work and family life.
Does not procrastinate.
Commitment To Result	Role Model	Capable and Effective	Somewhat Effective	Needs Development
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.
Coordinates all department activities into a cohesive team effort.
Takes immediate action toward goals.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses technology in decision making and problem solving.
Adopts the implementation of new technology into the workplace.
Understands and is committed to implementing new technologies.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Supports technical training and development of employees.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Expresses the Company vision in a way that is easily understood and adopted by employees.
Creates a positive vision of the future for the Company.
Develops action plans to align his/her work with the goals of the organization
Communicates a vision of where the Company needs to be in the future.
Communicates the vision and strategy of [Company]

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.