Managing Performance - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

You are going to be participating in a 360-Degree assessment. As part of this process you will need to complete the self-assessment questionnaire form below.

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

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Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You address poor performance sooner rather than later.
I convey expectations for meeting performance metrics.
I recognize employees who have courage in persevering against great odds and difficulties.
You identify the Key Performance Indicators (KPIs) for the position.
You make sure commitments are understood and met.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You demonstrate improvement in performance.
I was able to increase production by 20 percent.
You follow-up and take action when goals are not met to ensure better results in the future.
You maintain high performance standards.
I instill a shared sense of urgency and purpose in others, driving collective progress.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You clarify problems and their causes to help employees correct them.
You seek to reduce ambiguity in messaging and documents.
You are clear about goals that need to be achieved.
You make sure goals and objectives are clearly and thoroughly explained and understood.
You write clear job descriptions for positions in the organization.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You create documents and reports as needed to maintain compliance with regulations.
You perform regular compliance audits.
You interact with auditors and regulators on a professional basis.
You ensure the company meets legal requirements/standards regarding employees.
You benchmark reporting system performance against peer organizations to identify improvement opportunities.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You devote a certain amount of time and effort to developing new business opportunities.
You balance risks and rewards when making decisions.
You encourage dynamic growth opportunities.
You encourage risk taking for developing potential business opportunities.
You take the initiative to complete tasks.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I can effectively use logistics planning to reduce supply delays.
You allow input from others for the 5-year plan.
You delegate role to team members to accomplish goals.
I am able to follow the plan set in place.
I plan for how to allocate time to specific activities.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are aware of the culture, behaviors, identities and beliefs of others.
You develop both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
You form strong client relationships with international partners.
You work well with others from different cultural backgrounds.
You volunteer for experiences and assignments abroad.

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

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

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for [Participant Name Here]'s assessment.