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
Is able to decline bad ideas to avoid making poor decisions.
Understands the expectations of other parties in the negotiation.
Changes communication styles to meet the listener's needs.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Stays calm and focuses on the core issues to be discussed.
Adaptability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is open to change and adjusts plans when needed.
Is flexible and open minded in dealing with others.
Learns from personal experiences and/or mistakes.
Able to step in and help co-workers when needed.
Effective in working with different personnel of the team.
Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Takes responsibility for things that go wrong
Sets an example for others to follow
Delegate tasks effectively
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to organize work.
...Produce Quality
Works well in this position.
Works effectively in the department.
Effectively organizes resources and plans
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to balance the needs of different people in a solution to a problem.
Is a good problem solver and decision maker
Solves problems using logic and insight.
Ability to develop innovative solutions to problems.
Actively seeks the root cause of a problem.
Interpersonal Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is trusted by peers and co-workers; others are willing to confide in him/her
Is a role model for others
Anticipates the concerns of other employees.
Values the opinions of others.
Able to work with individuals at all levels of the Company.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Obtains feedback to ensure client needs are being met.
Ensures commitments made to clients are completed to the client's satisfaction.
Provides a high level of service to clients.
Consistently meets client's needs.
Supports client focused policies and procedures.
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.
Looks to others for input.
Open to the suggestions of others.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the current organizational culture.
Able to deal with sensitive issues with tact and professionalism.
Able to use corporate politics to advance department objectives.
Anticipates problems that may affect the department.
Able to explain departmental policies and procedures to others.

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.