Organizational Fluency- 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

Edit this Survey

Would you like to edit this survey? Click here to begin.

Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adept at navigating within the culture of the department.
Understands departmental policies and procedures.
Able to use corporate politics to advance department objectives.
Able to deal with sensitive issues with tact and professionalism.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands how to strategically grow the business and increase customers.
Creates strategies that significantly benefit the Company.
Converses with customers and clients to get a better insight into their personal needs.
Maintains knowledge of current trends in the industry.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Monitors expenses and verifies the need for items purchased.
Keeps excellent records for financial transparency.
Provides budgeting and accounting support to the Company.
Ensures others follow the correct rules and regulations on fiscal matters.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is open minded and curious about learning new skills.
Creates an environment that supports personal development and exploration.
Demonstrates a willingness to participate in continuing education courses.
Is committed to enhancing their own knowledge and skills.
Teamwork	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates well with team members.
Effective team player
Works cooperatively with others to solve problems.
Works with other team members to identify bottle necks in the production process.
Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets an example for others to follow
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Is ready to offer help
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Reviews performance against established measures.
Is a calming force during stressful periods.
Maintains an even temper in stressful situations.
Is respectful toward employees.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes calculated risks to achieve higher levels of performance.
Works at a quick pace to complete a high volume of work.
Sets challenging goals for the department.
Completed training on the new equipment.
Technical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Knows how to produce high quality products/work.
Seeks information from others as needed.
Willingly shares his/her technical expertise; sought out as resource by others
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks for opportunities that have a positive impact on Clients.
Is competent in handling client cases.
Creates high quality products for the clients.
Uses feedback from the client to help improve the client's experience.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates opportunities for professional development.
Encourages employees through recognition of positive changes in behavior.
Sets performance objectives for subordinates that encourages development opportunities.
Creates a work environment that fosters positive feedback to employees.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.