Objectives - 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

Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Organizes and schedules events, activities, and resources.
Sets long-term and short-term goals.
Ability to establish realistic goals.
Able to organize work.
Communicates goals and objectives to employees.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Rewards employees for exceeding goals.
Reviews job performance shortly after completion of tasks.
Monitors progress to ensure performance goals are being met.
Holds the team accountable for meeting objectives.
Is proactive in administering the rewards program.
Analytical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes issues and reduces them to their component parts.
Balances risks and costs with the rewards and probabilities of success when decisions.
Analyzes data and information from several sources and arrives at logical conclusions.
Identifies problems and issues needing resolution.
Identifies opportunities for progress and innovation.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Finds creative ways to get things done with limited resources.
Ability to solve problems at root cause rather than at symptom level.
Makes judgments based upon relevant information.
Identifies and assesses all potential responses to a problem.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports technical training and development of employees.
Adopts the implementation of new technology into the workplace.
Applies complex rules and regulations to maintain optimal system performance.
Supports employee training and development initiatives regarding implementation of technology.
Uses technology in decision making and problem solving.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Finds opportunities to recognize others.
Recognizes individuals for a specific outstanding achievement.
Is sincerely interested in the suggestions of co-workers
Reinforces and rewards employees for accomplishing necessary goals.
Offers recognition in a timely manner.

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

    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 [Participant Name Here]'s assessment.