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
Adjusts and rearranges the schedule to maximize efficiency.
Sets the appropriate sequence of tasks to ensure completion of the project.
Understands what materials will be required to successfully implement the plan.
Able to stay organized and focused using excellent planning skills.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides budgeting and accounting support to the Company.
Monitors spending.
Keeps excellent records for financial transparency.
Develops budgets and plans for various programs and initiatives.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Says "thank you" to show appreciation for work of others.
Readily shares credit and gives others opportunity for visibility.
Makes people around them feel appreciated and valued.
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.
Motivates others to achieve or exceed goals
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Is responsive to individuals from other cultures.
Actively listens to other employees' stories about their culture.
Values the opinions of diverse groups and individual.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures that team goals are met 85 percent of the time.
Initiates probationary actions for employees with sub-par performance.
Records production quotas on a daily basis.
Effectively uses the current performance review process.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Completed work exceeds standards.
Sets benchmarks and milestones to measure progress toward the objectives.
Sets important goals for the department.
Exceeds performance requirements.
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
Is planful and organized.
Can be counted on to add value wherever they are involved.
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is pro-active in dealing with customers and addressing their needs.
Creates customized solutions for the customer.
Sets an example for excellent customer relations.
Provides a high level of service to 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.