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

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Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Flexible in adjusting priorities to meet the demands of changing situations.
Determines the parts of the project that need completed first.
Removes bureaucratic barriers to streamline processes.
Concentrates efforts on the most urgent needs.
Determines the best approach to achieving the expected results.
Holds others accountable for producing high quality work.
Overcomes obstacles to continue working toward goals.
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Establishes goals and objectives.
Able to organize work.
Sets long-term and short-term goals.
Ability to establish realistic goals.
Assures [Company] principles are understood, employed & pursued.
Effectively organizes resources and plans
Consistently provides me with timely feedback for improving my performance.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to highlight both the strategic benefits and potential pitfalls in collaboration.
Reinforces the contacts with other organizations.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Collaborates with other companies to inject capital in exchange for equity, fostering growth and expansion for the partner organization.
Supports strategic alliances to combine strengths of both parties.
Seeks to avoid conflicts by clarifying problems early on and working quickly to resolve those issues.
Develops alliances with colleagues at other companies.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Attends [Company] gatherings and social events.
Effectively represents the department in company gatherings.
Expresses loyalty and dedication to [Company] in interactions with others.
Follows existing procedures and processes.
Understands the "basics" as to how [Company] functions/operates.
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
Closely follows the plan established for the department.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Develops plans to help manage expectations and project demands.
Ensures staff have the supplies and resources necessary to enact the plan.
Creates plans to handle complex, multi-faceted projects.
Prioritizes tasks based on urgency/need.
Develops a detailed plan outlining tasks, resources, timelines, and deliverables.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Constantly enhances product knowledge through experimentation and play.
Sees feedback from others as an opportunity to learn and advance professionally.
Is open minded and curious about learning new skills.
Sets achievable learning goals to develop new skills.
Demonstrates through personal behavior the commitment to high standards of performance.
Critiques own performance and learns from experience as a source of continuous improvement.
Takes advantage of training opportunities when they arise.

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.