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

Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes responsibility for things that go wrong
Delegate tasks effectively
Is ready to offer help
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Tracks risks in a project.
Is concerned about process safety management.
Works within constraints of the organization.
Knows how to obtain desired results with minimal losses.
Creates a risk profile for projects and teams.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the applicable regulations and laws that impact our business.
Offers training on various subjects to help ensure employees are aware of regulations.
Creates documents and reports as needed to maintain compliance with regulations.
Complies with regulatory requirements for the state.
Interacts with auditors and regulators on a professional basis.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Supports a partnering/networking culture.
Supports and encourages relationships that are created by diverse team members.
Promotes the understanding of how the department affects the organization overall.
Seeks an understanding of diverse functions within the Company.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Reinforces and rewards employees for accomplishing necessary goals.
Says "thank you" to show appreciation for work of others.
Finds opportunities to recognize others.
Readily shares credit and gives others opportunity for visibility.
Makes people around them feel appreciated and valued.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Successfully implements a strategic plan.
Maintains a strategic focus on external factors impacting the success of the company.
Maintains a strategic focus to sustain competitiveness in changing business environments.
Implements and executes the company's strategy for advancing production capabilities.
Strategically positions resources to meet the needs of field based employees.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Devotes a certain amount of time and effort to developing new business opportunities.
Maintains a high level of energy to respond to demands of the job.
Is comfortable operating in an environment of uncertainty.
Has a strategic awareness on how to promote the organization.
Exhibits determination and passion in completion of goals.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
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
Expresses the Company vision in a way that is easily understood and adopted by employees.
Works to support the strategy of [Company]
Behaves in a way that is consistent with business values & code of conduct

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.