Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #5

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
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Assesses current capabilities before committing to new requests from customers.
Bounces back from daily crisis, disappointments and frustrations.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Can multi-task while performing all of their other responsibilities and activities.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Allows individuals to be responsible for their decisions.
Provides support and resources needed to accomplish goals.
Distributes the workload to subordinates.
Encourages others to obtain necessary skills and training.
Avoids micromanaging their employees.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates opportunities for professional development.
Assigns tasks and responsibilities to develop skills of others.
Supports the successes of other employees.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Sets performance objectives for subordinates that encourages development opportunities.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to see issues from others' perspectives.
Respects the opinions of other employees.
Is able to see issues from others' perspectives.
Forms working relationships with employees from other departments.
Works effectively with people from other departments.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks for opportunities to enhance contributions to the bottom line.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
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.
Communicates goals and objectives to employees.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effective in using Company's resources.
Monitors spending.
Develops of the department's annual budget.
Keeps excellent records for financial transparency.
Develops budgets and plans for various programs and initiatives.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works to support the strategy of [Company]
Behaves in a way that is consistent with business values & code of conduct
Leads employees in new directions.
Expresses the Company vision in a way that is easily understood and adopted by employees.
Understands the vision of the Company and promotes it ahead of any self-interests.

36. Overall, please rate the effectiveness of .
    

    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 's assessment.