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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Please ensure that your submission is made by .

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
Makes you feel enthusiastic about your work
Delegate tasks effectively
Keep staff informed about what is happening in the company
Is ready to offer help
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Evaluates risks against acceptable risk levels.
Able to adapt quickly to changing situations.
Seeks to increase safety in the workplace.
Performs a risk analysis as needed.
Develops policies to address risk situations in the workplace.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the applicable regulations and laws that impact our business.
Maintains compliance with federal, state, and local laws.
Offers training on various subjects to help ensure employees are aware of regulations.
Knows who to contact at various regulatory agencies if needed.
Explains regulations and procedures to others as required.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks to reduce institutional roadblocks to information sharing.
Partners with peers to obtain influence within the Company.
Supports a partnering/networking culture.
Seeks an understanding of diverse functions within the Company.
Maintains infrastructure to support partnerships and networks.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes the abilities and skills of self and others
Offers recognition in a timely manner.
Recognizes individuals for a specific outstanding achievement.
Reinforces and rewards employees for accomplishing necessary goals.
Lets employees know when they have done well
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Able to decline a poor strategy by proposing alternate strategies.
Understands their role within the organization.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Looks for opportunities to enhance contributions to the bottom line.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Finds unique ways to go around barriers to success.
Has a strategic awareness on how to promote the organization.
Encourages risk taking for developing potential business opportunities.
Can work effectively in an environment of uncertainty.
Understands the processes and various stages of business development.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Leads employees in new directions.
Communicates a vision of where the Company needs to be in the future.
Expresses the Company vision in a way that is easily understood and adopted by employees.
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

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.