Recognition- 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

Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is sincerely interested in the suggestions of co-workers
Reinforces and rewards employees for accomplishing necessary goals.
Finds opportunities to recognize others.
Compliments other people when they do good work
Says "thank you" to show appreciation for work of others.
Adaptability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adjusts to new plans and procedures.
Accommodates changes as needed.
Responds quickly to new information.
Adjusts plans to meet the needs of new constraints.
Adjusts tactics and strategies.
Continual Learning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Pursues professional development opportunities when they arise.
Grasps new ideas, concepts, technical, or business knowledge.
Participates in regular training offered.
Builds on their strengths while addressing their weaknesses.
Is open to new ideas and concepts.
Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is ready to offer help
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
Sets an example for others to follow
Delegate tasks effectively
Decision Making	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Evaluates information before making a final decision.
Outlines the parameters influencing the decision making process.
Makes creative decisions.
Makes good decisions for the department.
Is confident in the decisions they make.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes use of talents of others to help achieve a high level of performance.
Driven to complete goals despite obstacles that may arise.
Works at a quick pace to complete a high volume of work.
Eliminates bureaucratic barriers to streamline processes.
Uses established goals and performance measures to keep track of performance.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Proficient in the use of technical systems and processes.
Applies complex rules and regulations to maintain optimal system performance.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Uses technology in decision making and problem solving.
Maximizes the use of new technology to deliver products and services.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Meets with clients on a regular basis.
Creates customized solutions for the client.
Treats clients with courtesy and respect.
Creates high quality products for the clients.
Tailors solutions to meet the specific needs of each client.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates business cycles and trends and makes adjustments in a timely manner.
Formulates policies and strategies for addressing the Company's important challenges.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Creates strategies that significantly benefit the Company.
Analyzes unique issues or problems impacting the Company.

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

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

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.