Quality - 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

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Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Verifies the correct materials were used in the installation.
Is flexible in addressing issues related to quality.
Provides regular and timely feedback on quality levels.
Develops specific quality standards/goals to be met within a specified timeframe.
Promotes quality improvement practices in the department.
Systematically and thoroughly inspects products for consistency in meeting specifications.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports new initiatives for organizational changes to improve effectiveness.
Is a leading force driving changes.
Develops a strategy for implementing changes.
Is an inspiration for others to accept the recent changes.
Facilitates change with minimal resistance.
Assists others in understanding changes to the organization.
Responsible	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Responsible for setting the vision of the department.
...takes personal responsibility for results.
Works in a way that makes others want to work with her/him.
Behavior is ethical and honest.
Sets a good example
Sets a good example.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Tries to ensure employees are ready to move to the next level.
Assesses employees' developmental needs.
Recognizes and celebrates accomplishments of others.
Creates a work environment that fosters positive feedback to employees.
Sets performance objectives for subordinates that encourages development opportunities.
Provides constructive feedback to others.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Helps employees to understand responsibilities, authority, and expectations.
Provides clear, motivating, and constructive feedback.
Helps employees to maintain high personal standards.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Addresses employee behavior problems effectively.
Conducts regular performance appraisals and feedback.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
...treats others with respect and dignity.
Helpful
Includes others in the decision making processes.
Constructively receives criticism and suggestions from others.
Forms working relationships with employees from other departments.
Consistently demonstrates ability and willingness to trust others.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the use of [Company] products and services.
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates working knowledge of global transactions.
Demonstrates a curiosity about diverse individuals and cultures.
Attends training seminars and conferences to increase skills in working with others globally.
Is aware of the culture, behaviors, identities and beliefs of others.
Builds working relationships with others across cultures.
Cooperates with others on a global scale.

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

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

    
    
50. Strengths
    
    
    
51. Areas for Development
    
    
    
52. Please give any final comments or suggestions for [Participant Name Here]'s assessment.