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
Demonstrates a willingness to participate in continuing education courses.
Takes advantage of training opportunities when they arise.
Is open minded and curious about learning new skills.
Stays up-to-date on emerging technologies.
Holds self and associates accountable for goal achievement.
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.
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.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Enhances creativity in the workplace.
Helps develop the creative potential in employees.
Reframes problems in novel ways to unlock new solutions.
Promotes cross-training to broaden creative perspectives and skills.
Invents novel approaches that challenge standard practices.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates a well-organized and timely approach to achieve desired results
Is flexible in adjusting priorities to meet the demands of changing situations.
Completes work to given time frame and to budget
Embraces bold, well-considered decisions to unlock new opportunities and growth.
Finds viable solutions despite obstacles.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Clearly defines work objectives for employees.
Avoids creating ambiguity or mixed messages.
Adjusts communication methods to the needs of the audience.
Attends to the important details of a job or task.
Is clear about goals that need to be achieved.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Reviews the compliance program and recommends changes based on new industry trends.
Develops compliance reports in accordance with federal and industry regulations.
Creates and implements training courses for new hires to ensure knowledge of regulations and policies.
Develops the appropriate incentives (or disincentives) for regulatory compliance.
Responds accurately and completely to questions from regulators.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops budgets and plans for various programs and initiatives.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors expenses and verifies the need for items purchased.
Develops of the department's annual budget.
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.