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
Builds working relationships with others across cultures.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Is aware of the culture, behaviors, identities and beliefs of others.
Engages in problem solving with individuals outside of the country.
Able to listen and understand others and discuss issues in a respectful way.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works across boundaries within the organization.
...treats others with respect and dignity.
Includes others in the decision making processes.
Respects the opinions of other employees.
Forms working relationships with employees from other departments.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Inspires creativity in their team.
Conceives, implements and evaluates ideas.
Creates a lot of new ideas.
Is creative and inspirational.
Adds value to the department/organization.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides employees with necessary resources to accomplish their goals.
Ensures that team goals are met 85 percent of the time.
Continuously measures performance and provides feedback to employees regularly.
Informs team members how their performance compares to stated goals.
Provides employees with training as needed to increase their performance.
Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks to obtain consensus or compromise.
Develops a good rapport with others.
Persuades others to consider alternative points of view.
Communicates effectively with others.
Attempts to persuade others rather than simply control them.
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages others to produce the highest quality work products.
Corrects issues in a timely manner.
Encourages others to achieve high quality standards.
Reflects on what is working and what could be improved.
Encourages employees to produce the best quality products.
Initiative	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Takes the initiative to change the direction or course of events.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Takes action without being asked.
Goes above and beyond the stated goals.
Responsible	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Acts as a resource without removing individual responsibility.
Behavior is ethical and honest.
Holds herself / himself accountable to goals / objectives
...takes personal responsibility for results.
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.