Management - 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

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Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes responsibility for things that go wrong
Sets an example for others to follow
Is ready to offer help
Keep staff informed about what is happening in the company
Makes you feel enthusiastic about your work
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works effectively to mitigate risks.
Seeks to add value to the company by embracing risk.
Is concerned about process safety management.
Fosters an awareness and a shared responsibility for managing risk at all levels of the Company.
Determines the impact of specific risks on marketplace.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Coordinates internal and external audit procedures.
Keeps detailed records of compliance measures.
Coordinates with legal counsel in conducting audits of legal compliance.
Creates and maintains necessary regulatory documentation.
Offers training on various subjects to help ensure employees are aware of regulations.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a shared knowledge base or resource center accessible to all partners.
Partners with other organizations to develop new technologies and processes.
Plans and engages resources to the partnership effort while monitoring and evaluating progress and achievements.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Engages in continuous dialogue through regular meetings or virtual meetups.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Compliments other people when they do good work
Recognizes the abilities and skills of self and others
Is sincerely interested in the suggestions of co-workers
Recognizes individuals for a specific outstanding achievement.
Readily shares credit and gives others opportunity for visibility.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates deadlines for various components of the strategy.
Understands & contributes to development of strategic goals.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Supports changes being recommended from senior management.
Makes strategic decisions that take into account a dynamic situation.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages dynamic growth opportunities.
Understands the processes and various stages of business development.
Seeks and utilizes mentors to help guide professional development.
Exhibits determination and passion in completion of goals.
Can work effectively in an environment of uncertainty.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides staff with the necessary resources, authority, and support to effectively implement and achieve the organization's vision.
Creates a workplace culture that reflects the organizational vision.
Develops and executes a strategic vision for the organization.
Develops an inspiring and ambitious vision for the organization's future.
Charts a bold course for the department's rapid evolution and expansion.

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

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

    
    
42. Strengths
    
    
    
43. Areas for Development
    
    
    
44. Please give any final comments or suggestions for [Participant Name Here]'s assessment.