Innovation - 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.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Innovation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Builds upon the ideas and solutions of others.
Develops new products and services.
Creates a safe environment for idea-sharing.
Maximizes the alternative solutions to problems.
Seeks innovative ways to change, grow, and improve the company.
Develops several approaches or solutions to a problem.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures client commitments and requirements are met or exceeded
Obtains feedback to ensure client needs are being met.
Is pro-active in dealing with clients and addressing their needs.
Looks for opportunities that have a positive impact on Clients.
Satisfies client needs.
Maintains strong relationships with clients.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees to take courses relevant to their job.
Contributing fully to the extent of their skills
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for professional development.
Seeks opportunities for continuous learning.
Allows employees to fully participate in employee training and professional development.
Co-worker Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Monitors and assesses the performance levels of individuals and team, measuring them against targets
Sets and clearly communicates expectations, performance goals, and measurements to others
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
Provides ongoing feedback to co-workers on their development progress
Provides access to development resources for co-workers
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Considers impact of actions on other areas of the organization.
Applies the knowledge of work processes to influence the achievement of business goals
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Able to align resources to meet the business needs of the company.
Asks the 'right' questions to size up or evaluate situations.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands global systems such as the global economy.
Demonstrates a curiosity about diverse individuals and cultures.
Forms strong client relationships with international partners.
Facilitates open communication with individuals from other countries.
Engages in problem solving with individuals outside of the country.
Exemplifies the skills of a global worker.

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

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

    
    
38. Strengths
    
    
    
39. Areas for Development
    
    
    
40. Please give any final comments or suggestions for [Participant Name Here]'s assessment.