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
Thoroughly understands the interests and possibilities of both sides.
Is able to decline bad ideas to avoid making poor decisions.
Able to adapt to changing situations.
Uses the motivations of each party to identify mutually advantageous solutions.
Is aware of potential emotional triggers that could negatively impact the negotiations.
Adaptability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Can take on new assignments.
Adjusts plans to meet new situations.
Works effectively in dynamic and changing work environments.
Will stop what they are doing to help colleagues in need.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is ready to offer help
Keep staff informed about what is happening in the company
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Delegate tasks effectively
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Has great overall performance
Works effectively in the department.
...Produce Quality
...Overall Performance
Able to organize work.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Implements effective solutions to critical problems.
Able to balance the needs of different people in a solution to a problem.
Generates alternative solutions to problems and challenges.
Solves problems using logic and insight.
Effective in solving problems.
Interpersonal Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sees values in the diversity of individuals on the team.
Is transparent and honest in communications, intentions, and actions.
Adapts management style to meet the needs of the individual or situation.
Follows up on inquiries in a timely manner.
Anticipates the concerns of other employees.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Follows up with any unanswered questions from the client.
Promptly responds to clients.
Obtains feedback to ensure client needs are being met.
Acts with integrity in all client interactions.
Creates new and innovative products for clients.
Feedback	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Asks others for their ideas and opinions.
Shares past experiences with others as learning opportunities.
Looks to others for input.
Actively seeks feedback from others.
Considers other's opinion and suggestions.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to deal with sensitive issues with tact and professionalism.
Adept at navigating within the culture of the department.
Understands the current organizational culture.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Effective in communicating with others within the organization.

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.