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
Takes initiative for own learning and development.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Constantly enhances product knowledge through experimentation and play.
Takes advantage of training opportunities when they arise.
Embraces new technology and procedures.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes processes to determine areas for improvement.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand current job responsibilities.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
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.
Creates a lot of new ideas.
Is creative.
Inspires creativity in their team.
Conceives, implements and evaluates ideas.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Systematically works to improve the organization
Holds others to high standards of achievement.
Rapidly completes tasks and assignments.
Takes calculated risks to achieve higher levels of performance.
Accepts setbacks and challenges as improvement opportunities
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Clearly explains responsibilities to individuals.
Communicates ideas and facts clearly and effectively in writing.
Adjusts communication methods to the needs of the audience.
Is clear about goals that need to be achieved.
Is clear about the roles and duties of team members.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Implements regulatory changes in a timely manner.
Keeps informed of various regulations and procedures.
Follows all safety regulations and procedures.
Performs regular compliance audits.
Complies with regulatory requirements for the state.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Effective in using Company's resources.
Develops budgets and plans for various programs and initiatives.
Monitors spending.
Monitors expenses and verifies the need for items purchased.

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.