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
Embraces new technology and procedures.
Inspires others to learn new things.
Will participate in training classes even if offered outside of normal working hours.
Creates an environment that supports personal development and exploration.
Enhances value to the company through additional training and development.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes processes to determine areas for improvement.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand current job responsibilities.
Open to the suggestions from others.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a lot of new ideas.
Conceives, implements and evaluates ideas.
Inspires creativity in their team.
Develops solutions to challenging problems.
Adds value to the department/organization.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Set high standards in their performance
Created impactful reports for the re-organization committee.
Takes reasonable risks to achieve desired results.
Increased revenue for the company.
Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Checks details thoroughly.
Is clear about the roles and duties of team members.
Communicates with clarity and efficiency.
Avoids stating unclear or conflicting goals.
Clearly explains the vision and goals of the company.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps informed of various regulations and procedures.
Is professional and courteous in interactions with auditors and regulators.
Is aware of the documents and reports needed to maintain compliance with regulations.
Maintains compliance with federal, state, and local laws.
Complies with regulatory requirements for the state.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps excellent records for financial transparency.
Monitors expenses and verifies the need for items purchased.
Develops budgets and plans for various programs and initiatives.
Monitors spending.
Develops of the department's annual budget.

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.