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
Is committed to enhancing their own knowledge and skills.
Demonstrates through personal behavior the commitment to high standards of performance.
Inspires others to learn new things.
Stays up-to-date on emerging technologies.
Constantly enhances product knowledge through experimentation and play.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks for ways to expand and learn new job skills.
Looks for ways to expand current job responsibilities.
Analyzes processes to determine areas for improvement.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to improve work processes and procedures.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adds value to the department/organization.
Is creative.
Conceives, implements and evaluates ideas.
Is creative and inspirational.
Inspires creativity in their team.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Establishes stretch goals to advance skills and output.
Sets challenging goals.
Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
Highly motivated to achieve or exceed performance standards.
Is results oriented.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is clear about the roles and duties of team members.
Makes sure employees understand why they were given certain assignments.
Attends to the important details of a job or task.
Clearly explains responsibilities to individuals.
Clearly explains the vision and goals of the company.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Coordinates internal and external audit procedures.
Develops the appropriate incentives (or disincentives) for regulatory compliance.
Maintains compliance with federal, state, and local laws.
Implements strategies to ensure compliance.
Maintains a state of readiness to address new and changing regulations and procedures.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors expenses and verifies the need for items purchased.
Keeps excellent records for financial transparency.
Develops budgets and plans for various programs and initiatives.
Provides budgeting and accounting support to the Company.

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.