Planning- 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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Management Team

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Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets the appropriate sequence of tasks to ensure completion of the project.
Able to identify the needs of the department before a major change.
Establishes and monitors timeframes and timelines.
Conducts regular assessments of the project status to ensure adherence to the set schedule.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides budgeting and accounting support to the Company.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors expenses and verifies the need for items purchased.
Monitors spending.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes individuals for a specific outstanding achievement.
Says "thank you" to show appreciation for work of others.
Is sincerely interested in the suggestions of co-workers
Finds opportunities to recognize others.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Conveys a sense of urgency about addressing problems and opportunities
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Completes a large volume of work.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Values the opinions of diverse groups and individual.
Encourages a work environment where individual differences are valued.
Communicates with others without the influence of racism.
Functions effectively within various cultural contexts.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Determines the operational standards needed for performance of the job.
Sets long and short term goals.
Makes sure employees understand what is expected of them.
Recognizes and values good performance.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Willing to adapt to new procedures to maintain production capacities.
Encourages employees to give 100% to achieving high results.
Sets a common goals for the team.
Establishes benchmarks to be met when working on projects.
Technical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks information from others as needed.
Willingly shares information and expertise; sought out as resource by others
Willingly shares his/her technical expertise; sought out as resource by others
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Produces high quality work.
Is planful and organized.
Can be counted on to add value wherever they are involved.
Takes a lot of pride in their work.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is aware of the customer's needs.
Attends to the customer's needs in addition to the specific needs of the project.
Manages customer accounts with high degree of competence.
Responsive to customer needs.

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

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

    
    
42. Strengths
    
    
    
43. Areas for Development
    
    
    
44. Please give any final comments or suggestions for [Participant Name Here]'s assessment.