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
Stays calm and focuses on the core issues to be discussed.
Able to clearly express thoughts and concerns.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Able to adapt to changing situations.
Understands the expectations of other parties in the negotiation.
Adaptability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Learns from personal experiences and/or mistakes.
Is open to new ideas and innovations.
Flexible and open to new ideas and encourages others to recognize the value of change.
Adjusts tactics and strategies.
Embraces change and fosters an open-minded environment.
Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is ready to offer help
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Sets an example for others to follow
Takes responsibility for things that go wrong
Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to organize work.
...Produce Quality
Effectively organizes resources and plans
Works well in this position.
Shown significant improvement in job performance.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Finds creative ways to get things done with limited resources.
Works cooperatively with others to solve problems.
Ability to solve problems at root cause rather than at symptom level.
Solves problems using logic and insight.
Identifies and assesses all potential responses to a problem.
Interpersonal Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Offers praise to colleagues who have successfully completed major projects.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Assists those in the department who need help in meeting performance metrics.
Addresses critical customer issues in a timely manner.
Willing to overlook personal differences and focus on completing the task at hand.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Fosters an environment that supports strong client focus.
Uses feedback from the client to help improve the client's experience.
Regularly receives positive feedback from clients.
Is committed to the client's success.
Delivers customized solutions for each client.
Feedback	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Open to the suggestions of others.
Asks others for their ideas and opinions.
Seeks feedback to enhance performance.
Accepts the views of others.
Is visible and approachable.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effective in communicating with others within the organization.
Adept at navigating within the culture of the department.
Understands departmental policies and procedures.
Able to deal with sensitive issues with tact and professionalism.
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.