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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Thank you for your participation in the survey.

Management Team

Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands what equipment will be needed for the project.
Prioritizes tasks based on urgency/need.
Sets the appropriate sequence of tasks to efficiently achieve the goal.
Accurately estimates the amount of materials/supplies needed for the project.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors spending.
Monitors expenses and verifies the need for items purchased.
Develops of the department's annual budget.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes team members who offer a significant contribution to a project.
Recognizes the abilities and skills of self and others
Is sincerely interested in the suggestions of co-workers
Reinforces and rewards employees for accomplishing necessary goals.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages risk taking and experimentation to improve performance
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes a large volume of work.
Displays high energy and enthusiasm on consistent basis.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Respects others regardless of age, race, gender, nationality, or disability.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Is responsive to individuals from other cultures.
Is aware of the similarities and differences among and between cultural groups.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Holds the team accountable for meeting objectives.
Provides employees with training as needed to increase their performance.
Aligns individual and team goals with the organization's goals and objectives.
Sets clear and ambitious goals to be met.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets priorities for tasks to be completed.
Inspires and motivates co-workers to be productive and energetic at work
Determines the objectives for the project.
Sets challenging goals to be achieved.
Technical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates mastery of the technical competencies required in his/her work.
Is knowledgeable of procedures or systems necessary for the job.
Willingly shares his/her technical expertise; sought out as resource by others
Knows how to produce high quality products/work.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes a lot of pride in their work.
Is planful and organized.
Produces high quality work.
Keeps themselves and others focused on constant improvement.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides training to others on how to improve customer service.
Consistently models positive customer service attitudes.
Is committed to resolving customer issues in a positive way.
Is competent in handling difficult customers.

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.