Others- 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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

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Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports the efforts of other employees in implementing solutions to problems.
Respects the opinions of other employees.
...treats others with respect and dignity.
Works effectively with people from other departments.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes processes to determine areas for improvement.
Promotes training and development opportunities to enhance job performance.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Fosters a culture of open communication and continuous improvement.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes and values individual and cultural differences.
Shows respect in daily interactions
Functions effectively within various cultural contexts.
Seeks out opportunities to learn about different cultures and integrates that knowledge into leadership practices.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Acknowledges employee contributions that support the bottom line.
Increases responsibilities for high performing individuals.
Recognizes employees with a long and distinguished career of service.
Establishes measures of performance.
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops processes to enhance quality standards.
Recognizes their role in promoting quality and safety in the workplace.
Effectively works with Quality Control (QC) engineers.
Takes preventative measures to address quality issues before they escalate.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Successfully completes critical tasks within deadlines.
Anticipates problems and resolves them before they negatively impact the schedule.
Does not procrastinate.
Encourages colleagues to spend more time on work related activities.
Commitment To Result	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains persistence and dedication to achieving results.
Coordinates all department activities into a cohesive team effort.
Takes immediate action toward goals.
Encourages commitment in others to obtain results.
Technical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Willingly shares information and expertise; sought out as resource by others
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Is knowledgeable of procedures or systems necessary for the job.
Knows how to produce high quality products/work.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Offers training on various subjects to help ensure employees are aware of regulations.
Develops and implements appropriate reporting channels.
Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
Implements internal control processes to detect misconduct or patterns of illegal transactions.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Stays ahead of the curve and guides the team towards innovative solutions and strategic decisions.
Able to see trends in the business environment.
Ensures that messaging about the vision remains clear, stable, and free from contradiction.
Detects problems and creates solutions.

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

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

    
    
42. Strengths
    
    
    
43. Areas for Development
    
    
    
44. Please give any final comments or suggestions for [Participant Name Here]'s assessment.