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

Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to deal with sensitive issues with tact and professionalism.
Understands departmental policies and procedures.
Gets things done through the department.
Effective in communicating with others within the organization.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies potential problems before they become critical incidents.
Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
Attends industry conferences to gain further insight into how other companies deal with similar issues.
Converses with customers and clients to get a better insight into their personal needs.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides budgeting and accounting support to the Company.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops of the department's annual budget.
Ensures others follow the correct rules and regulations on fiscal matters.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes advantage of training opportunities when they arise.
Is open minded and curious about learning new skills.
Enjoys learning new skills and techniques.
Takes initiative for own learning and development.
Teamwork	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Listens to the opinions of other team members.
Adjusts to changes in the composition of the team.
Listens and is attentive to other team members.
Makes decisions that support the team's goals and objectives.
Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is ready to offer help
Keep staff informed about what is happening in the company
Delegate tasks effectively
Sets an example for others to follow
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes decisions based on all relevant information.
Effective in resolving conflicts to mutual satisfaction of the parties.
Demonstrates exemplary work performance that others should follow.
Ensures employees know what they need to complete during the shift.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
Completes work to given time frame and to budget
Increased revenue for the company.
Completed training on the new equipment.
Technical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is knowledgeable of procedures or systems necessary for the job.
Willingly shares his/her technical expertise; sought out as resource by others
Knows how to produce high quality products/work.
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
Focuses on providing excellent client service.
Provides a high level of service to clients.
Uses feedback from the client to help improve the client's experience.
Is aware of the client's needs.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a work environment that fosters positive feedback to employees.
Tries to ensure employees are ready to move to the next level.
Assigns tasks and responsibilities to develop skills of others.
Develops employees by offering and encouraging them to take on new or additional responsibilities.

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.