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 establish measures of performance.
I use established criteria for measuring job performance.
I make sure employees understand what is expected of them.
I recognize people who provide outstanding leadership in planning, organizing.
I determine the Objectives and Key Results (OKRs) needed for the position.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You demonstrate a sense of urgency to quickly and accurately solve problems and issues.
You systematically work to improve the organization
You successfully complete the orientation training program.
You demonstrate improvement in performance.
You allocate resources as needed to accomplish organizational goals.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You clearly explains responsibilities to individuals.
You provide a clear vision for the future.
You make sure employees understand why they were given certain assignments.
You clarify problems and their causes to help employees correct them.
You make sure goals and objectives are clearly and thoroughly explained and understood.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You provide documents and reports as needed to maintain compliance with laws.
You are aware of federal and local laws affecting employees.
You ensure the company meets legal requirements/standards regarding employees.
You explain regulations and procedures to others as required.
You maintain a state of readiness to address new and changing regulations and procedures.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You find unique ways to go around barriers to success.
You encourage dynamic growth opportunities.
You take the initiative to complete tasks.
You balance risks and rewards when making decisions.
You are comfortable operating in an environment of uncertainty.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I anticipate the impacts of strategic plans.
I reduce uncertainty in the department through clear planning and schedules.
I set the appropriate sequence of tasks to ensure completion of the project.
You accomplish major tasks by breaking them into manageable pieces.
You delegate role to team members to accomplish goals.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
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 exemplify the skills of a global worker.
You understand and appreciate the perspectives offered by others with different cultural backgrounds.
You apply knowledge of overseas markets.
You demonstrate a curiosity about diverse individuals and cultures.

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.