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

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Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to organize work.
Works toward achieving established goals and objectives.
Sets long-term and short-term goals.
Assures [Company] principles are understood, employed & pursued.
Communicates goals and objectives to employees.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes sure employees understand what is expected of them.
Recognizes people who provide outstanding leadership in planning, organizing.
Records production quotas on a daily basis.
Establishes standards for expected performance.
Ensures employees understand their performance expectations.
Analytical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes the steps to maintain precision when collecting and measuring data.
Implements a variety of data gathering techniques.
Understands how to develop critical and analytical thinking.
Measures costs associated with various programs and policies.
Identifies deviations from stated goals and objectives.
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.
Works extra as needed to find the best solution to a problem.
Able to solve problems that involve political biases, conflicting evidence, and/or lack of data.
Ability to solve problems at root cause rather than at symptom level.
Gathers input from staff for use in problem solving.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports technical training and development of employees.
Applies complex rules and regulations to maintain optimal system performance.
Supports employee training and development initiatives regarding implementation of technology.
Understands and is committed to implementing new technologies.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Implements a reward and recognition system that reinforces good behaviors.
Encourages peers to recognize each other in real-time.
Facilitates and supports the recognition programs within the department.
Measures the quality of recognition that team leaders give their team members.
Offers sincere praise for the efforts of the team.

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.