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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Thank you for your participation in the survey.

Management Team

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Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes initiative for own learning and development.
Embraces new technology and procedures.
Holds self and associates accountable for goal achievement.
Takes advantage of training opportunities when they arise.
Stays up-to-date on emerging technologies.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Open to the suggestions from others.
Analyzes processes to determine areas for improvement.
Looks for ways to expand and learn new job skills.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is creative and inspirational.
Adds value to the department/organization.
Inspires creativity in their team.
Is creative.
Creates a lot of new ideas.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Establishes stretch goals to advance skills and output.
Is determined to complete tasks regardless of obstacles that may occur.
Demonstrates improvement in performance.
Sets performance metrics to measure achievement or attainment of goals.
Strives to exceed standards of performance.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Checks details thoroughly.
Avoids creating ambiguity or mixed messages.
Communicates with clarity and efficiency.
Avoids stating unclear or conflicting goals.
Clarifies problems and their causes to help employees correct them.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Prepares and presents annual reports as required.
Documents the performance of compliance audits.
Uses software tools to monitor compliance and track issues to help identify and respond to non-compliance.
Creates and administers training initiatives on compliance and regulations.
Tracks employee participation in development opportunities as required by industry regulations.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops budgets and plans for various programs and initiatives.
Develops of the department's annual budget.
Ensures others follow the correct rules and regulations on fiscal matters.
Keeps excellent records for financial transparency.
Effective in using Company's resources.

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.