Conflict Management- 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

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

Negotiation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains communication channels between parties in the negotiation.
Is flexible in responses.
Understands the expectations of other parties in the negotiation.
Leverages relationships with others to achieve goals.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Adaptability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to work effectively with new people and new teams.
Works effectively in dynamic and changing work environments.
Recognizes and implements changes to enhance efficiency and effectiveness.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Flexible and open to new ideas and encourages others to value change.
Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets an example for others to follow
Takes responsibility for things that go wrong
Delegate tasks effectively
Is ready to offer help
Makes you feel enthusiastic about your work
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effective in performing his/her job.
Works effectively in the department.
Shown significant improvement in job performance.
Effectively organizes resources and plans
Works well in this position.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Finds creative ways to get things done with limited resources.
Makes judgments based upon relevant information.
Understands the root causes of problems.
Identifies and assesses all potential responses to a problem.
Actively seeks the root cause of a problem.
Interpersonal Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is a role model for others
Able to work with individuals at all levels of the Company.
Builds a strong rapport with co-workers.
Uses tact, compassion, and sensitivity in interactions with others.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures client commitments and requirements are met or exceeded
Satisfies client needs.
Looks for opportunities that have a positive impact on Clients.
Maintains strong relationships with clients.
Obtains feedback to ensure client needs are being met.
Feedback	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks feedback to enhance performance.
Asks others for their ideas and opinions.
Is visible and approachable.
Accepts the views of others.
Shares past experiences with others as learning opportunities.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effective in communicating with others within the organization.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to explain departmental policies and procedures to others.
Adept at navigating within the culture of the department.
Gets things done through the department.

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

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

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.