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
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Can multitask while performing all of their other responsibilities and activities.
Prioritizes tasks for efficiency.
Assigns tasks based on skills of team members.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports the decisions of others.
Avoids micromanaging their employees.
Allows the employees to have flexible work schedules.
Assigns tasks that are within the skill levels of employees.
Distributes the workload to subordinates.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates opportunities for professional development.
Recognizes and celebrates accomplishments of others.
Assigns tasks and responsibilities to develop skills of others.
Encourages employees through recognition of positive changes in behavior.
Provides constructive feedback to others.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is able to see issues from others' perspectives.
Works across boundaries within the organization.
Helpful
Works effectively with people from other departments.
Includes others in the decision making processes.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Understands their role within the organization.
Looks for opportunities to enhance contributions to the bottom line.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Understands & contributes to development of strategic goals.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides budgeting and accounting support to the Company.
Monitors spending.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops budgets and plans for various programs and initiatives.
Effective in using Company's resources.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates a vision of where the Company needs to be in the future.
Creates a positive vision of the future for the Company.
Expresses the Company vision in a way that is easily understood and adopted by employees.
Demonstrates consistency between words and actions
Leads employees in new directions.

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.