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
Prioritizes tasks for efficiency.
Organizes tasks for the most efficient order of completion.
Can multitask while performing all of their other responsibilities and activities.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Completes multiple tasks simultaneously.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Trusts employees with important responsibilities.
Allows the employees to have flexible work schedules.
Coordinates the knowledge, skills and resources of others to accomplish more in the department.
Delegates authority to employees and allows them to make their own decisions.
Creates a culture where employees are recognized and rewarded for taking the initiative and making impactful choices.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Assigns tasks and responsibilities to develop skills of others.
Is open to receiving feedback.
Tries to ensure employees are ready to move to the next level.
Creates opportunities for professional development.
Sets performance objectives for subordinates that encourages development opportunities.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Constructively receives criticism and suggestions from others.
Respects the opinions of other employees.
Supports the efforts of other employees in implementing solutions to problems.
...treats others with respect and dignity.
Able to see issues from others' perspectives.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Implements and executes the company's strategy for advancing production capabilities.
Identifies bottlenecks in the production process and develops strategies to correct these issues.
Communicates goals and objectives to employees.
Develops strategies to effectively use company resources and exploit potential opportunities.
Detects changes in the environment and updates the strategic plan to address new opportunities or threats.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops budgets and plans for various programs and initiatives.
Provides budgeting and accounting support to the Company.
Effective in using Company's resources.
Monitors expenses and verifies the need for items purchased.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a positive vision of the future for the Company.
Leads employees in new directions.
Persuades others to follow the Company's vision.
Creates a common vision for others.
Communicates the vision and strategy of [Company]

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.