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
Accomplishes difficult tasks obtaining measurable results.
Incorporates new technologies or tools to enhance efficiency under pressure.
Explains the "whys" behind organizational objectives
Anticipates customer needs and adjusts workflows to ensure satisfaction.
Sets benchmarks and milestones to measure progress toward the objectives.
Maintains focus on end goals while adapting the path to get there.
Does not become distracted by non-issues or interruptions.
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works toward achieving established goals and objectives.
Sets long-term and short-term goals.
Assures [Company] principles are understood, employed & pursued.
Organizes and schedules events, activities, and resources.
Consistently provides me with timely feedback for improving my performance.
Encourages me to take on greater responsibility.
Effectively organizes resources and plans
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Strengthens the contacts with other departments.
Participates in conflict resolution to find mutually beneficial solutions.
Creates the conditions for partnerships to grow and develop.
Regularly schedules coffee chats or informal meetups to deepen personal connections.
Maintains communication channels with colleagues in the industry.
Develops alliances with colleagues at other companies.
Maintains a network of partners and suppliers to facilitate global operations.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Helps employees see their work as a reflection of the company's purpose and legacy.
Regularly engages with employees to understand what drives their satisfaction and well-being.
Is transparent in leadership and holds themself accountable.
Makes decisions that are guided by honesty and fairness.
Creates a team structure that supports strong collaboration and communication.
Speaks confidently about the company's ability to adapt and thrive.
Paints a compelling picture of the company's future and inspires others to work toward it.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the process for developing strategic plans for the organization.
Sets long-term goals and reverse-engineers short-term actions to achieve them.
Creates plans to handle complex, multi-faceted projects.
Assesses the risks of various strategic plans.
Notifies staff when the plan is not on schedule.
Plans for how to allocate time to specific activities.
Effectively uses logistics planning to reduce supply delays.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates a willingness to learn new things.
Takes advantage of training opportunities when they arise.
Holds self and associates accountable for goal achievement.
Will spend the extra time needed to learn how to properly use new equipment/materials.
Keeps up-to-date with their skills.
Seeks to increase skill set.
Takes initiative for own learning and development.

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.