Results Oriented - 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

Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Translates plans into specific assignments for branch management team
Does not become distracted by non-issues or interruptions.
Directs team in prioritizing daily work activities
Holds employees accountable for completing required work.
Exhibits high energy and a positive attitude on the job with others
Stays focused on meeting the needs of customers.
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets long-term and short-term goals.
Encourages me to take on greater responsibility.
Organizes and schedules events, activities, and resources.
Able to organize work.
Effectively organizes resources and plans
Communicates goals and objectives to employees.
Assures [Company] principles are understood, employed & pursued.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Builds alliances between departments and teams.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Partners with peers to obtain influence within the Company.
Maintains infrastructure to support partnerships and networks.
Seeks an understanding of diverse functions within the Company.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Seeks to reduce institutional roadblocks to information sharing.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Impresses upon others the important aspects of [Company].
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the "basics" as to how [Company] functions/operates.
Attends [Company] gatherings and social events.
Supports [Company]'s marketing efforts.
Understands how decisions impact other business units beyond their immediate department of work group.
Supports [Company]'s strategic objectives.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes plans and follows through.
Reduces uncertainty in the department through clear planning and schedules.
Effectively uses logistics planning to reduce supply delays.
Ensures staff are held accountable for following the department plan.
Initiates the planning process by defining the scope of the project.
Develops a strategic plan to reduce costs in the department.
Accurately estimates the duration of tasks.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is committed to enhancing their own knowledge and skills.
Creates an environment that supports personal development and exploration.
Is open minded and curious about learning new skills.
Enrolls in continuing education courses.
Will spend the extra time needed to learn how to properly use new equipment/materials.
Persists until goals are achieved and commitments are met.
Stays current with skills and training.

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

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

    
    
44. Strengths
    
    
    
45. Areas for Development
    
    
    
46. Please give any final comments or suggestions for [Participant Name Here]'s assessment.