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

Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Plans and organizes continuously while performing all other responsibilities and activities.
Ensures that assignments are prioritized according to the needs of the department/company.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Completes multiple tasks simultaneously.
Ranks the importance of tasks to make sure critical tasks are completed first.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Values the expertise that others bring to the team.
Encourages employees to expand their skills in order to take on greater responsibilities.
Creates opportunities for employees to exercise their independence.
Creates a culture where employees are given the opportunity to take the initiative and make impactful decisions.
Helps employees advance their skills so that they can have more autonomy.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides constructive feedback to others.
Supports the successes of other employees.
Is open to receiving feedback.
Encourages employees through recognition of positive changes in behavior.
Creates opportunities for professional development.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works across boundaries within the organization.
Constructively receives criticism and suggestions from others.
Works effectively with people from other departments.
Respects the opinions of other employees.
Able to see issues from others' perspectives.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops a strategic focus on internal factors to improve efficiency or conserve limited resources.
Pursues strategic alliances with valued partners.
Identifies sources for developing a global competitive advantage for the company.
Strategically focuses efforts to improve operational efficiencies.
Identifies and focuses resources on strategic growth opportunities.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Monitors spending.
Effective in using Company's resources.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Keeps excellent records for financial transparency.
Monitors expenses and verifies the need for items purchased.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a workplace culture that reflects the organizational vision.
Charts a bold course for the department's evolution.
Plans a roadmap for the department's growth and expansion.
Pinpoints specific challenges that the company faces and meticulously crafts tailored solutions to overcome these obstacles.
Adept at creating and actualizing a strategic roadmap for the organization.

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.