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
Develops proper plans to ensure seamless flow of materials through logistics.
Develops strategic plans for ensuring competitiveness in the marketplace.
Ensures everyone in the department is onboard with the current plan.
Allows input from others for the 5-year plan.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides budgeting and accounting support to the Company.
Effective in using Company's resources.
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors expenses and verifies the need for items purchased.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Says "thank you" to show appreciation for work of others.
Compliments other people when they do good work
Makes people around them feel appreciated and valued.
Offers recognition in a timely manner.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages risk taking and experimentation to improve performance
Motivates others to achieve or exceed goals
Conveys a sense of urgency about addressing problems and opportunities
Seeks and utilizes opportunities for continuous learning and self-development.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is willing to include individuals with different cultural backgrounds on the team.
Respects others regardless of age, race, gender, nationality, or disability.
Seeks out different viewpoints and benefits from different perspectives.
Avoids referring to stereotypes about others from different cultures.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Records production quotas on a daily basis.
Continuously measures performance and provides feedback to employees regularly.
Participates in training as needed to improve job performance.
Communicates OKRs to employees regularly during monthly meetings.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Focuses on achieving important goals.
Directs team in prioritizing daily work activities
Exceeds performance requirements.
Prioritizes tasks to best achieve the results.
Technical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Knows how to produce high quality products/work.
Willingly shares information and 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.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Can be counted on to add value wherever they are involved.
Demonstrates the functional or technical skills necessary to do their job.
Keeps themselves and others focused on constant improvement.
Produces high quality work.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes sure team members understand the issues faced by the customer.
Is aware of what the customer wants to receive.
Ensures customers are comfortable with the services provided.
Is above average in addressing the needs of the 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.