Quality - 360 Degree Feedback Survey Sample #5

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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Holds employees accountable for their quality of work.
Always strives to produce the highest quality work products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Encourages employees to produce the best quality products.
Corrects issues in a timely manner.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports new initiatives for organizational changes to improve effectiveness.
Addresses organizational and departmental resistance to changes.
Assists others in understanding changes to the organization.
Effective in dealing with ambiguous and challenging situations.
Adopts changes to set and example for others to follow.
Responsible	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets a good example.
Behavior is ethical and honest.
Is a person you can trust.
Holds herself / himself accountable to goals / objectives
Works in a way that makes others want to work with her/him.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports the successes of other employees.
Assigns tasks and responsibilities to develop skills of others.
Provides constructive feedback to others.
Creates opportunities for professional development.
Is open to receiving feedback.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Addresses employee behavior problems effectively.
Provides clear, motivating, and constructive feedback.
Conducts regular performance appraisals and feedback.
Meets regularly with employees to coach them on areas that will enhance their performance
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Respects the opinions of other employees.
Treats others with respect and dignity.
...treats others with respect and dignity.
Constructively receives criticism and suggestions from others.
Forms working relationships with employees from other departments.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Expresses loyalty and dedication to [Company] in interactions with others.
Attends [Company] gatherings and social events.
Understands how decisions impact other business units beyond their immediate department of work group.
Follows existing procedures and processes.
Understands the "basics" as to how [Company] functions/operates.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands how cultures differ and how these differences impact work behavior.
Accepts setbacks and challenges in foreign markets as improvement opportunities
Sets the example for team on importance of cultural awareness.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Applies knowledge of overseas markets.

41. Overall, please rate the effectiveness of .
    

    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 's assessment.