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.

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Thank you for your participation in the survey.

Management Team

Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works toward achieving established goals and objectives.
Establishes goals and objectives.
Sets long-term and short-term goals.
Assures [Company] principles are understood, employed & pursued.
Ability to establish realistic goals.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Monitors progress to ensure performance goals are being met.
Recognizes people who provide outstanding leadership in planning, organizing.
Aligns individual and team goals with the organization's goals and objectives.
Sets clear and ambitious goals to be met.
Effectively uses the current performance review process.
Analytical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies the root cause of a problem.
Uses appropriate techniques to solve problems.
Identifies problems and issues needing resolution.
Prioritizes various actions to be taken when solving a problem.
Asks the "right" questions to size up or evaluate situations.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Actively seeks the root cause of a problem.
Makes judgments based upon relevant information.
Identifies and assesses all potential responses to a problem.
Finds creative ways to get things done with limited resources.
Ability to solve problems at root cause rather than at symptom level.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Proficient in the use of technical systems and processes.
Maximizes the use of new technology to deliver products and services.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Adopts the implementation of new technology into the workplace.
Applies complex rules and regulations to maintain optimal system performance.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Says "thank you" to show appreciation for work of others.
Reinforces and rewards employees for accomplishing necessary goals.
Readily shares credit and gives others opportunity for visibility.
Finds opportunities to recognize others.
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.