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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Thank you for your participation in the survey.

Management Team

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Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to see issues from others' perspectives.
Treats others with respect and dignity.
Is able to see issues from others' perspectives.
Forms working relationships with employees from other departments.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks for ways to expand current job responsibilities.
Promotes training and development opportunities to enhance job performance.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to improve work processes and procedures.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Views diversity as a strength, not as an issue.
Values the diverse perspectives from others.
Aware of their own cultural views.
Seeks out different viewpoints and benefits from different perspectives.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets long and short term goals.
Establishes standards for expected performance.
Sets performance expectations that are clear, specific and concise.
Continuously measures performance and provides feedback to employees regularly.
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adjusts processes or procedures to improve quality results.
Implements quality control feedback loops to enhance services and products.
Quickly identifies critical issues impacting quality.
Establishes timeframes for achieving suitable quality levels.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes the initiative to tackle critical issues earlier rather than later.
Does not become flustered by deadlines and timelines.
Prefers to utilize automated workflows.
Makes the most of limited time available.
Commitment To Result	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Committed to the team.
Encourages commitment in others to obtain results.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Maintains persistence and dedication to achieving results.
Technical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
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
Seeks information from others as needed.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Appoints a supervisory committee to ensure effective oversight of the organization.
Is aware of federal and local laws affecting employees.
Develops compliance reports to share with stakeholders.
Creates necessary compliance policies and procedures.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Crafts a compelling vision that motivates employees to align their efforts with the organization's goals.
Transforms the department's vision into a clearly defined, actionable set of goals and a comprehensive strategic plan.
Determined to bring the strategic vision to fruition.
Creates strategic initiatives that support the organization's common vision.

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.