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
Prioritizes tasks for efficiency.
Coordinates the work of a team by assigning tasks to other team members.
Assesses current capabilities before committing to new requests from customers.
Assigns tasks based on skills of team members.
Switches attention to more urgent tasks when necessary.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees to think outside the box.
Coordinates the knowledge, skills and resources of others to accomplish more in the department.
Permits employees to take training to become more independent.
Enables team members to make their own decisions on the project.
Allows employees to organize their schedule to best accomplish the job.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees through recognition of positive changes in behavior.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Creates opportunities for professional development.
Is open to receiving feedback.
Assigns tasks and responsibilities to develop skills of others.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to see issues from others' perspectives.
...treats others with respect and dignity.
Helpful
Supports the efforts of other employees in implementing solutions to problems.
Works across boundaries within the organization.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops high-level strategic planning models to identify opportunities to improve the company.
Aligns projects to the strategic goals of the company.
Understands how to achieve strategic financial objectives.
Pursues strategic alliances with valued partners.
Communicates the company's strategic goals and decisions to teams and departments.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors spending.
Keeps excellent records for financial transparency.
Effective in using Company's resources.
Develops of the department's annual budget.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Delegates the task of implementing the vision to subordinates.
Plans a roadmap for the department's growth and expansion.
Develops a schedule that outlines specific phases, measurables, and deadlines, ensuring that work is systematically aligned and coordinated with the organization's vision.
Defines a roadmap for realizing the organization's vision.
Builds a strategic vision by analyzing the company's current position and the market environment, identifying strengths, weaknesses, opportunities, and threats.

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.