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
Effectively organizes resources and plans
Able to organize work.
Consistently provides me with timely feedback for improving my performance.
Organizes and schedules events, activities, and resources.
Sets long-term and short-term goals.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Informs team members how their performance compares to stated goals.
Aligns individual and team goals with the organization's goals and objectives.
Routinely holds audits of performance on a weekly or monthly basis.
Ensures team members receive rewards for positive performance accomplishments.
Provides employees with necessary resources to accomplish their goals.
Analytical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies the root cause of a problem.
Prioritizes various actions to be taken when solving a problem.
Analyzes data and information from several sources and arrives at logical conclusions.
Balances risks and costs with the rewards and probabilities of success when decisions.
Identifies opportunities for progress and innovation.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works cooperatively with others to solve problems.
Finds creative ways to get things done with limited resources.
Actively seeks the root cause of a problem.
Effective in solving problems.
Solves problems using logic and insight.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands and is committed to implementing new technologies.
Supports technical training and development of employees.
Supports employee training and development initiatives regarding implementation of technology.
Applies complex rules and regulations to maintain optimal system performance.
Maximizes the use of new technology to deliver products and services.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes the abilities and skills of self and others
Lets employees know when they have done well
Says "thank you" to show appreciation for work of others.
Makes people around them feel appreciated and valued.
Finds opportunities to recognize others.

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.