Juggling Multiple Responsibilities - 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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Thank you for your participation in the survey.

Management Team

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Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is aware of the deadlines for specific tasks/assignments.
Spends the most time and effort on critical tasks first.
Ensures that assignments are prioritized according to the needs of the department/company.
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Establishes goals that allow employees top operate independently in the field.
Creates a culture where employees are given the opportunity to take the initiative and make impactful decisions.
Values the expertise that others bring to the team.
Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
Values the input from others.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides constructive feedback to others.
Assigns tasks and responsibilities to develop skills of others.
Tries to ensure employees are ready to move to the next level.
Recognizes and celebrates accomplishments of others.
Encourages employees through recognition of positive changes in behavior.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Treats others with respect and dignity.
Constructively receives criticism and suggestions from others.
Works effectively with people from other departments.
Helpful
Able to see issues from others' perspectives.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops a strategic vision for the future.
Identifies ways in which the company is better able to meet the customers' needs than rivals.
Modifies strategic decisions depending on changes in the business environment.
Identifies sources for developing a global competitive advantage for the company.
Makes plans to handle unforeseen events that could impact the achievement of strategic goals.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides budgeting and accounting support to the Company.
Monitors expenses and verifies the need for items purchased.
Monitors spending.
Effective in using Company's resources.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets a schedule for achieving the organization's vision.
Adjusts tactics when needed without compromising the core vision.
Creates a clear and inspiring vision statement that outlines the desired future for the company.
Creates a compelling vision inspires employees, giving them a sense of purpose and direction.
Develops an inspiring and ambitious vision for the organization's future.

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

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

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