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 express clear goals and objectives.
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 set specific, measurable, and challenging goals.
You set a high level of performance expectations and challenges others to do the same.
You effectively lead others.
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You prioritize tasks for efficiency.
You ensure that assignments are prioritized according to the needs of the department/company.
You keep track of multiple assignments and deadlines.
You observe, analyze, and respond to merchandise needs while serving customers and accomplishing operational tasks.
You complete multiple tasks simultaneously.
Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You deliver on promises made.
You take ownership, deliver on commitments
You are a person others can count on.
You demonstrate congruence between statements and actions.
You consistently keep commitments.
Responsible	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You act as a resource without removing individual responsibility.
You hold yourself accountable to goals / objectives
You are a person others can trust.
You work in a way that makes others want to work with you.
You are responsible for setting the vision of the department.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You meet regularly with employees to coach them on areas that will enhance your performance
You coach employees in how to strengthen knowledge and skills to improve work performance.
You develop the skills and capabilities of others.
You help employees to maintain high personal standards.
You provide clear, motivating, and constructive feedback.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You have a good understanding of liabilities and assets.
I understand cash flow procedures and statements.
You are up-to-date with regulatory guidelines and policies.
I understand our competitors and their strengths and weaknesses.
I have an understanding of various asset classes and how to interpret balance sheets.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I recognize the needs of customers.
You develop a plan and strategy for each functional area within the mission statement.
You work with others to develop insights into the resources and actions required to produce desired results.
You have conversations with customers and clients to get a better insight into their personal 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 develop of the department's annual budget.
You provide budgeting and accounting support to the Company.
You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
You monitor expenses and verify the need for items purchased.
You keep excellent records for financial transparency.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You form strong client relationships with international partners.
You demonstrate working knowledge of global transactions.
You accept setbacks and challenges in foreign markets as improvement opportunities
You create an environment where individual differences are valued and supported.
You are comfortable using teleconferencing equipment to facilitate meetings with others abroad.

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.