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
Bounces back from daily crisis, disappointments and frustrations.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Assesses current capabilities before committing to new requests from customers.
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Distributes the workload to subordinates.
Encourages others to obtain necessary skills and training.
Encourages employees to solve problems on their own.
Sets clear goals for others to accomplish.
Avoids micromanaging their employees.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Assesses employees' developmental needs.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Provides constructive feedback to others.
Supports the successes of other employees.
Recognizes and celebrates accomplishments of others.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Respects the opinions of other employees.
Helpful
Able to see issues from others' perspectives.
Works across boundaries within the organization.
Works effectively with people from other departments.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates goals and objectives to employees.
Able to decline a poor strategy by proposing alternate strategies.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Understands their role within the organization.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Keeps excellent records for financial transparency.
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors expenses and verifies the need for items purchased.
Develops of the department's annual budget.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates consistency between words and actions
Expresses the Company vision in a way that is easily understood and adopted by employees.
Develops action plans to align his/her work with the goals of the organization
Clearly articulates a vision for his/her work and inspires others to support it
Creates a common vision for others.

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.