Leadership - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for participating in a 360-degree feedback assessment. In this process, you will complete a self-assessment questionnaire (below). You will also receive feedback from others including your manager, peers and direct reports. As you respond, please respond using just your experiences in the past 12 months. Rate each item using the scale shown. 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 you at the conclusion of this assessment to help guide your ongoing professional development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Leadership	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are a highly effective supervisor.
You give inspiring presentations or discussions.
You clearly explain performance expectations and goals to be reached at the beginning of a project, then let others decide how to achieve the goal.
You are able to influence others.
You are able to organize the work of others.
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You recognize and respond to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
You complete multiple tasks simultaneously.
You are aware of the deadlines for specific tasks/assignments.
You use a scheduler/planner to keep tasks organized and on time.
You avoid bottlenecks in progress by assigning multiple individuals to critical tasks.
Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are trustworthy; is someone that can be trusted.
You demonstrate a sense of responsibility and commitment to public trust.
You take care to maintain confidential information.
You build and maintain the trust of others.
You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
Responsible	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Your behavior is ethical and honest.
You are responsible for setting the vision of the department.
You take personal responsibility for results.
You hold yourself accountable to goals / objectives
You work in a way that makes others want to work with you.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You conduct regular performance appraisals and feedback.
You develop the skills and capabilities of others.
You coach employees in how to strengthen knowledge and skills to improve work performance.
You address employee behavior problems effectively.
You provide clear, motivating, and constructive feedback.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You apply the knowledge of work processes to influence the achievement of business goals
You anticipate marketplace opportunities and supports speed to market.
I consider environmental, social, and governance (ESG) factors to ensure the business is sustainable in the long run.
I identify potential regulatory risks and strategies to mitigate them.
You identify new business opportunities.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You adjust strategic plans based on insights gathered from different points of view.
I inspire employees to adopt the strategic plan.
I create a vision for the organization based on insights gathered from other companies in the industry.
You ommunicate with employees to find out their needs.
You meets with customers to gain insight into their core needs and how best to serve them.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You monitor spending.
You ensure others follow the correct rules and regulations on fiscal matters.
You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
You develop budgets and plans for various programs and initiatives.
You develop of the department's annual budget.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are able to work with others from different cultures and countries.
You build working relationships with others across cultures.
You are able to listen and understand others and discuss issues in a respectful way.
You demonstrate working knowledge of global transactions.
You understand and appreciate the perspectives offered by others with different cultural backgrounds.

46. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.