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
Creates innovative methods of developing business opportunities.
Creates new and imaginative approaches to work-related issues.
Builds upon the ideas and solutions of others.
Encourages open communication to ensure that all proposals are considered.
Not afraid to think outside the box when dealing with issues.
Creates improved methods or solutions for meeting goals and objectives.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is aware of expectations from clients.
Helps clients feel they are receiving services tailored specifically to their needs.
Creates innovative solutions for the clients.
Consistently meets client's needs.
Makes sure team members understand the issues faced by the client.
Is pro-active in dealing with clients and addressing their needs.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Quickly acquire and apply new knowledge and skills when needed
Encourages employees to take courses relevant to their job.
Keep themselves up-to-date of technical/professional issues
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Seeks opportunities for continuous learning.
Contributing fully to the extent of their skills
Co-worker Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adapts coaching and mentoring approach to meet the style or needs of individuals
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
Provides access to development resources for co-workers
Provides ongoing feedback to co-workers on their development progress
Takes immediate action on poor performance
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Involves key stakeholders (employees, customers, investors, partners) in the planning process to gain diverse perspectives and buy-in.
Understands and applies business and financial principles.
Keeps informed of current income and expenses.
Understands the dynamics of our industry.
Can effectively interpret and analyze market data.
Understands business fundamentals and practices.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Facilitates open communication with individuals from other countries.
Aligns personal vision with global strategies.
Sets the example for team on importance of cultural awareness.
Understands how cultures differ and how these differences impact work behavior.
Analyzes global issues/problems that are having a large impact on the Company.
Considers customers point of view when making decisions.

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.