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
Generates innovative and practical ideas and approaches.
Takes risks to advance important ideas.
Analyzes current procedures and identifies opportunities for improvement.
Builds upon the ideas and solutions of others.
Develops new products and services.
Offers constructive improvements to existing systems.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures clients are comfortable with the services provided.
Ensures clients' expectations are met or exceeded.
Anticipates potential obstacles to meeting client needs.
Delivers high quality products to the client.
Is consistent in services provided to clients.
Responds to the needs of the client.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Contributing fully to the extent of their skills
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for continuous learning.
Keep themselves up-to-date of technical/professional issues
Encourages employees to take courses relevant to their job.
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
Works to identify root causes of performance problems
Provides access to development resources for co-workers
Takes immediate action on poor performance
Gives others development opportunities through project assignments and increased job responsibilities
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Considers impact of actions on other areas of the organization.
Coach others to foster an environment which can adapt quickly and willingly to rapid change
Understands consumer behaviors and how they may change in the future.
Describes and summarizes data.
Creates strategic plans that conform with regulations and industry guidelines.
Keeps informed of current income and expenses.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Facilitates open communication with individuals from other countries.
Is able to work with individuals having different backgrounds and cultures.
Exemplifies the skills of a global worker.
Able to work with others from different cultures and countries.
Accepts setbacks and challenges in foreign markets as improvement opportunities
Forms strong client relationships with international partners.

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.