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
Inspires others to achieve high quality standards.
Identifies appropriate sources of quality standards.
Anticipates and mitigates quality issues before they become a major problem.
Is innovative and creative in response to issues involving quality of the products.
Ensures the hiring of employees who are dedicated to delivering exceptional quality in every aspect of their work.
Encourages others to produce the highest quality work products.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Helps employees overcome their resistance to change.
Is interested in working on projects that may not be well defined.
Is proactive in planning for multiple possible future conditions be be prepared for all possible scenarios.
Addresses personnel issues that may impede progress on implementing changes.
Adapts strategy and leadership to meet emerging demands.
Helps teams and department overcome hurdles to achieving necessary changes.
Responsible	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Holds herself / himself accountable to goals / objectives
Works in a way that makes others want to work with her/him.
Completes assigned work tasks.
...takes personal responsibility for results.
Behavior is ethical and honest.
Acts as a resource without removing individual responsibility.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Assigns tasks and responsibilities to develop skills of others.
Supports the successes of other employees.
Recognizes and celebrates accomplishments of others.
Creates opportunities for professional development.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Creates a work environment that fosters positive feedback to employees.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Asks questions to encourage deeper engagement and active participation, helping the employee uncover insights and solutions on their own.
Helps others to identify key goals and use their talents to achieve success.
Helps employees to understand the responsibilities and expectations of their job.
Creates plans for achieving results that are specific, measurable and have target dates.
Uses coaching to help maximize employee output.
Celebrates small achievements to build motivation and confidence.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works effectively with people from other departments.
Constructively receives criticism and suggestions from others.
Supports the efforts of other employees in implementing solutions to problems.
Treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Works across boundaries within the organization.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Emphasizes the importance of teamwork at the Company.
Is proud to represent a company that others look up to.
Strengthens company morale by ensuring collaboration/teamwork is both productive and enjoyable.
Staffs the department to an adequate level.
Can be trusted by colleagues to act with integrity.
Enforces the workplace health and safety policies to ensure that all employees are given a safe place to work.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Aligns personal vision with global strategies.
Builds working relationships with others across cultures.
Understands global systems such as the global economy.
Forms strong client relationships with international partners.
Facilitates open communication with individuals from other countries.
Can effectively deliver presentations to international clients.

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.