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

Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Respects the opinions of other employees.
Is able to see issues from others' perspectives.
Forms working relationships with employees from other departments.
...treats others with respect and dignity.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks for ways to expand current job responsibilities.
Looks for ways to improve work processes and procedures.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand and learn new job skills.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Treats others with dignity and respect.
Shows respect in daily interactions
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Seeks out different viewpoints and benefits from different perspectives.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Obtains commitment from employees regarding completion of tasks.
Makes sure the team's goals are met.
Measures performance of goals and objectives.
Plans and sets work expectations.
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Always strives to produce the highest quality work products.
Encourages others to achieve high quality standards.
Reflects on what is working and what could be improved.
Encourages employees to produce the best quality products.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps and maintains a To-Do list.
Makes time for developing plans and schedules.
Deals effectively with interruptions.
Uses agendas when chairing or facilitating meetings.
Commitment To Result	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages commitment in others to obtain results.
Committed to the team.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Able to focus on a task even when working alone.
Technical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
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.
Willingly shares information and expertise; sought out as resource by others
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Willingly shares his/her technical expertise; sought out as resource by others
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps track of changes in legislation affecting regulatory compliance.
Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
Addresses issues quickly before they develop into major problems.
Maintains compliance with federal, state, and local laws.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates the vision and strategy of [Company]
Develops action plans to align his/her work with the goals of the organization
Understands the vision of the Company and promotes it ahead of any self-interests.
Creates a common vision for others.

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.