Performance - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for participating in a 360-degree feedback assessment. In this process, you will complete a self-assessment questionnaire (below). You will also receive feedback from others including your manager, peers and direct reports. As you respond, please respond using just your experiences in the past 12 months. Rate each item using the scale shown. 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 you at the conclusion of this assessment to help guide your ongoing professional development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You shown significant improvement in job performance.
You have great overall performance
You are able to organize work.
You listen and respond to issues and problems
You produce quality
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You encourage employees through recognition of positive changes in behavior.
You create opportunities for professional development.
You provide constructive feedback to others.
You try to ensure employees are ready to move to the next level.
You recognize and celebrates accomplishments of others.
Conflict Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I see conflicts as chances to develop innovative and effective solutions.
You are able to settle disputes equitably.
You reframe conflicts as opportunities to innovate and create new solutions to problems.
You help employees to think through alternative ways to resolve conflict situations.
You influence attitudes, beliefs, and behaviors in a way that fosters resolution and cooperation.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You make sure employees understand the strategy and goals.
You sustain or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
You develop strategies to seek new opportunities.
I can successfully implement a strategic plan.
I identify sources for developing a global competitive advantage for the company.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You monitor spending.
You keep excellent records for financial transparency.
You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
You ensure others follow the correct rules and regulations on fiscal matters.
You monitor expenses and verify the need for items purchased.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I conduct regular assessments of the project status to ensure adherence to the set schedule.
You work in an organized manner
I anticipate the impacts of strategic plans.
I can create effective logistics plans to achieve high operational efficiency.
You create to-do lists to make sure nothing is missed.

31. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
32. Strengths
    
    
    
33. Areas for Development
    
    
    
34. Please give any final comments or suggestions for [Participant Name Here]'s assessment.