Managing Risk - 360 Degree Feedback Survey Sample #5

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.

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 Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks to retain the best and brightest employees.
Effectively responds to critical situations to reduce potential for losses.
Rewards innovative experiments to try new ideas.
Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Able to adapt quickly to changing situations.
Project Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Defines project outcomes based on customer requirements.
Responds quickly and appropriately to unforeseen problems.
Works with customers and clients to assess their needs and define project parameters.
Inspires others to accomplish goals and objectives.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees to produce the best quality products.
Encourages others to produce the highest quality work products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Reflects on what is working and what could be improved.
Encourages others to achieve high quality standards.
Feedback	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Asks others for their ideas and opinions.
Is easy to approach with ideas and opinions.
Accepts the views of others.
Seeks feedback to enhance performance.
Considers other's opinion and suggestions.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Does not hesitate to address customer concerns or complaints.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Considers customers point of view when making decisions.
Maintains positive customer relationships.
Consistently models positive customer service attitudes.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies root causes of problems.
Maintains knowledge of current trends in the industry.
Formulates policies and strategies for addressing the Company's important challenges.
Analyzes records and reports to obtain insight into potential issues and trends.
Identifies potential problems before they become critical incidents.

31. Overall, please rate the effectiveness of .
    

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

    
    
32. Strengths
    
    
    
33. Areas for Development
    
    
    
34. Please give any final comments or suggestions for 's assessment.