Global Perspective- 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

Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is aware of the culture, behaviors, identities and beliefs of others.
Sets the example for team on importance of cultural awareness.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works effectively with people from other departments.
Supports the efforts of other employees in implementing solutions to problems.
Includes others in the decision making processes.
Treats others with respect and dignity.
...treats others with respect and dignity.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adds value to the department/organization.
Is creative and inspirational.
Is creative.
Creates a lot of new ideas.
Inspires creativity in their team.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Presents performance feedback in a clear and concise manner to address performance issues.
Plans and sets work expectations.
Is proactive in administering the rewards program.
Establishes indicators to measure levels of performance.
Ensures employees are trained in areas where performance may be lacking.
Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Persuades others to consider alternative points of view.
Has excellent influencing/negotiating skills.
Seeks to obtain consensus or compromise.
Ensures stakeholders are involved in the decision making process.
Communicates effectively with others.
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops specific quality standards/goals to be met within a specified timeframe.
Implements standardized and data driven quality processes/procedures.
Communicates quality standards clearly.
Makes sure cleanliness standards are met to reduce the possibility of contamination.
Proposes a variety of solutions to address quality needs.
Initiative	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Initiates important conversation topics at meetings.
Cleans the workspace without being told.
Initiates projects that have an impact on the department.
Acts with urgency when time is of the essence.
Takes charge when there is a crisis.
Responsible	Role Model	Capable and Effective	Somewhat Effective	Needs Development
...takes personal responsibility for results.
Responsible for setting the vision of the department.
Is a person you can trust.
Works in a way that makes others want to work with her/him.
Completes assigned work tasks.

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

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

    
    
42. Strengths
    
    
    
43. Areas for Development
    
    
    
44. Please give any final comments or suggestions for [Participant Name Here]'s assessment.