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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Organizes tasks for the most efficient order of completion.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Keeps track of multiple assignments and deadlines.
Spends the most time and effort on critical tasks first.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees to think outside the box.
Allows employees to organize their schedule to best accomplish the job.
Encourages employees to solve problems on their own.
Trusts employees with important responsibilities.
Encourages employees to take on greater responsibilities.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides constructive feedback to others.
Assesses employees' developmental needs.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Encourages employees through recognition of positive changes in behavior.
Recognizes and celebrates accomplishments of others.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is able to see issues from others' perspectives.
Forms working relationships with employees from other departments.
...treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Works effectively with people from other departments.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops strategies to effectively use company resources and exploit potential opportunities.
Develops a strategic plan to focus on strategic issues.
Develops a strategic focus on internal factors to improve efficiency or conserve limited resources.
Scans the environment for opportunities to exploit.
Develops strategies that are practical and can be feasibly implemented within a reasonable period of time.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effective in using Company's resources.
Monitors spending.
Develops budgets and plans for various programs and initiatives.
Ensures others follow the correct rules and regulations on fiscal matters.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Motivates employees to align with the department's vision.
Promotes a vision that inspires individuals to take risks to achieve greater rewards.
Concentrates employees' tasks on essential parts of the vision.
Leads with a growth-oriented mindset, driving innovation and expansion.
Shapes strategies that resonate with the department's shared vision.

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.