Passion to Learn - 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

Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Stays up-to-date on emerging technologies.
Will participate in training classes even if offered outside of normal working hours.
Is open minded and curious about learning new skills.
Embraces new technology and procedures.
Takes initiative for own learning and development.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Open to the suggestions from others.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to improve work processes and procedures.
Looks for ways to expand current job responsibilities.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adds value to the department/organization.
Is creative and inspirational.
Inspires creativity in their team.
Develops solutions to challenging problems.
Is creative.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes calculated risks.
Demonstrates a well-organized and timely approach to achieve desired results
Sets ambitious standards of performance.
Driven to complete goals despite obstacles that may arise.
Systematically works to improve the organization
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Avoids stating unclear or conflicting goals.
Clarifies problems and their causes to help employees correct them.
Writes clear job descriptions for positions in the organization.
Clearly explains responsibilities to individuals.
Maintains clarity in goals and objectives.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Knows who to contact at various regulatory agencies if needed.
Offers training on various subjects to help ensure employees are aware of regulations.
Offers training to employees to ensure they are complying with regulations.
Keeps up-to-date with legislation affecting employees.
Addresses issues quickly before they develop into major problems.
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.
Develops budgets and plans for various programs and initiatives.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors spending.

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

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

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for [Participant Name Here]'s assessment.