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
Aligns personal vision with global strategies.
Builds working relationships with others across cultures.
Works well with others from different cultural backgrounds.
Respects individual differences.
Analyzes global issues/problems that are having a large impact on the Company.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Forms working relationships with employees from other departments.
Is able to see issues from others' perspectives.
...treats others with respect and dignity.
Constructively receives criticism and suggestions from others.
Able to see issues from others' perspectives.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a lot of new ideas.
Inspires creativity in their team.
Adds value to the department/organization.
Conceives, implements and evaluates ideas.
Is creative and inspirational.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets specific and measurable goals for others and follows through to completion.
Creates clear standards that are understandable and fair.
Sets and maintains high standards for self and others.
Provides employees with necessary resources to accomplish their goals.
Continuously measures performance and provides feedback to employees regularly.
Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to express own goals and needs.
Develops a good rapport with others.
Attempts to persuade others rather than simply control them.
Understanding what others need.
Persuades others to consider alternative points of view.
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Always strives to produce the highest quality work products.
Encourages others to achieve high quality standards.
Holds employees accountable for their quality of work.
Corrects issues in a timely manner.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Initiative	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Immediately works to complete goals well before their deadline.
Builds strong interpersonal relationships upon first meeting.
Completes tasks without having to be told to do so.
Actively works on resolving the issue instead of procrastinating or hoping it will resolve itself.
Takes on extra projects after required work is completed.
Responsible	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets a good example
Sets a good example.
Works in a way that makes others want to work with her/him.
Sets high personal standards of performance.
Is a person you can trust.

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.