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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Offers recognition in a timely manner.
Recognizes team members who offer a significant contribution to a project.
Says "thank you" to show appreciation for work of others.
Lets employees know when they have done well
Compliments other people when they do good work
Adaptability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Will stop what they are doing to help colleagues in need.
Adjusts priorities to the new Corporate mission.
Can take on new assignments.
Handles changes easily.
Adapts quickly to new situations.
Continual Learning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes charge of their training and skills enhancement.
Builds on their strengths while addressing their weaknesses.
Pursues learning that will enhance job performance.
Participates in regular training offered.
Seeks opportunities to grow in skills and knowledge.
Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keep staff informed about what is happening in the company
Is ready to offer help
Delegate tasks effectively
Makes you feel enthusiastic about your work
Sets an example for others to follow
Decision Making	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is creative about the decisions they make.
Is able to make decisions quickly.
Evaluates information before making a final decision.
Examines for patterns in data to help predict future possibilities.
Identifies parameters impacting the decision.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accepts setbacks and challenges as improvement opportunities
Reduced department expenses by 25 percent.
Completes work promptly and efficiently.
Uses established goals and performance measures to keep track of performance.
Follows-up and takes action when goals are not met to ensure better results in the future.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports technical training and development of employees.
Understands and is committed to implementing new technologies.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Applies complex rules and regulations to maintain optimal system performance.
Maximizes the use of new technology to deliver products and services.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes client's needs a top priority.
Gives feedback to the client regularly.
Delivers customized solutions for each client.
Is pro-active in dealing with clients and addressing their needs.
Gets feedback from the client on a weekly basis.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a mission statement describing the purpose for the organization.
Observes employees at work to get better insight into the issues they are dealing with.
Analyzes records and reports to obtain insight into potential issues and trends.
Works with others to develop insights into the resources and actions required to produce desired results.
Attends industry conferences to gain further insight into how other companies deal with similar issues.

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.