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 recognize individual and team accomplishments and reward them appropriately.
You motivate others to reach and exceed organizational goals and objectives.
You take ownership and accountability for results
You give direct, constructive, and actionable feedback.
You give inspiring presentations or discussions.
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You coordinate the work of a team by assigning tasks to other team members.
You spend the most time and effort on critical tasks first.
You switch attention to more urgent tasks when necessary.
You integrate developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
You begin tasks as soon as possible.
Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You communicate an understanding of the other person's interests, needs and concerns.
You demonstrate a sense of responsibility and commitment to public trust.
You are a person others can count on.
You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
You take care to maintain confidential information.
Responsible	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You set high personal standards of performance.
You complete assigned work tasks.
You work in a way that makes others want to work with you.
You set a good example
You are a person others can trust.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You address employee behavior problems effectively.
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 conduct regular performance appraisals and feedback.
You help employees to maintain high personal standards.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You anticipate business cycles and trends and make strategic adjustments in a timely manner.
You have a good understanding of business operations to more effectively align company services to meet the needs of its customers.
I have an understanding of various asset classes and how to interpret balance sheets.
You formulate business strategies for addressing the Company's important needs.
You can effectively interpret and analyze data.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You work with others to develop insights into the resources and actions required to produce desired results.
You analyze records and reports to obtain insight into potential issues and trends.
You let employees know how their roles contribute toward the achievement of strategic company objectives.
You meet with customers to gain insight into their core needs and how best to serve them.
You identify root causes of problems.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
You ensure others follow the correct rules and regulations on fiscal matters.
You develop of the department's annual budget.
You keep excellent records for financial transparency.
You are effective in using company's resources.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You form strong client relationships with international partners.
You facilitate open communication with individuals from other countries.
You align personal vision with global strategies.
You understand how cultures differ and how these differences impact work behavior.
You understand global systems such as the global economy.

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.