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

Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You reward employees for exceeding goals.
I ensure that OKRs are aligned with company objectives.
I record production quotas on a daily basis.
You present performance feedback in a clear and concise manner to address performance issues.
You give additional responsibilities to individuals who exceed standards.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You accept setbacks and challenges as improvement opportunities
You inspire others to work with a sense of urgency.
You use established goals and performance measures to keep track of performance.
Your work improves the quality of work on the production line.
You are determined to complete tasks regardless of obstacles that may occur.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You clearly explains responsibilities to individuals.
You use appropriate grammar and tense in communications.
You check details thoroughly.
You make sure employees understand why they were given certain assignments.
You clearly define work objectives for employees.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I respond accurately and completely to questions from regulators.
You interact with auditors and regulators on a professional basis.
You are professional and courteous in interactions with auditors and regulators.
You keep track of changes in legislation affecting regulatory compliance.
I develop strategies to comply with established regulations.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You can work effectively in an environment of uncertainty.
You find unique ways to go around barriers to success.
You are comfortable operating in an environment of uncertainty.
You understand the processes and various stages of business development.
You seek and utilize mentors to help guide your professional development.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I divide complex tasks into smaller steps to measure progress toward a goal.
I analyze market trends to plan the best course of action.
I can develop an effective plan to guide the project.
You accomplish major tasks by breaking them into manageable pieces.
I can develop good plans used for logistics.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are able to listen and understand others and discuss issues in a respectful way.
You align personal vision with global strategies.
You are aware of the culture, behaviors, identities and beliefs of others.
You consider customers point of view when making decisions.
You set the example for team on importance of cultural awareness.

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.