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
I measure performance using standard production quotas.
I participate in training as needed to improve job performance.
I ensure Job Descriptions are up to date and accurate.
I ensure the employee understands the key tasks, goals and KPIs required for the position.
You require employees to participate in additional job training as part of a remediation program.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are able to successfully launch the ABC project.
You are able to reduce staff turnover.
You are driven to complete assignments on time.
You demonstrate a well-organized and timely approach to achieve desired results
You rapidly complete tasks and assignments.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You communicate with clarity and efficiency.
You provide a clear vision for the future.
You check details thoroughly.
You are clear about goals that need to be achieved.
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 maintain compliance with federal, state, and local laws.
I develop and implement appropriate reporting channels.
I formulate compliance policies and procedures.
I identify and assess areas of regulatory or compliance risk.
I coordinate with legal counsel investigating any instances of misconduct.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You understand the processes and various stages of business development.
You are excellent at managing relationships with stakeholders.
You encourage dynamic growth opportunities.
You seek and utilize mentors to help guide your professional development.
You have a strategic awareness on how to promote the organization.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I can develop a strategic plan to reduce costs in the department.
I develop plans used to accomplish urgent or critical tasks.
You purchase equipment and software that will be needed in the future.
You understand the process for developing strategic plans for the organization.
I ensure staff have the supplies and resources necessary to enact the plan.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You understand and appreciate the perspectives offered by others with different cultural backgrounds.
You exemplify the skills of a global worker.
You engage in problem solving with individuals outside of the country.
You attend training seminars and conferences to increase skills in working with others globally.
You create an environment where individual differences are valued and supported.

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.