Self-Management - 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

Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes interpersonal problems instead of reacting to them.
Consciously controls own negative emotions in order to keep team morale up.
Uses patience and self-control in working with customers and associates.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is creative.
Creates a lot of new ideas.
Develops solutions to challenging problems.
Conceives, implements and evaluates ideas.
Inspires creativity in their team.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands what customs and etiquette are important for individuals from other cultures.
Seeks clarification to avoid misunderstandings.
Values the opinions of diverse groups and individual.
Acknowledges their own biases in cultural interactions.
Engages with individuals that have different cultural backgrounds.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies and assesses all potential responses to a problem.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Works cooperatively with others to solve problems.
Understands the root causes of problems.
Makes judgments based upon relevant information.
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Assigns tasks based on skills of team members.
Ranks the importance of tasks to make sure critical tasks are completed first.
Ensures that assignments are prioritized according to the needs of the department/company.
Builds in extra time in the schedule for unplanned events/occurrences.
Keeps track of multiple assignments and deadlines.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is clear about goals that need to be achieved.
Attends to the important details of a job or task.
Adjusts communication methods to the needs of the audience.
Uses appropriate grammar and tense in communications.
Is clear about the roles and duties of team members.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Complies with trade agreements affecting international companies.
Knows who to contact at various regulatory agencies if needed.
Addresses issues quickly before they develop into major problems.
Maintains a state of readiness to address new and changing regulations and procedures.
Creates documents and reports as needed to maintain compliance with regulations.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Builds alliances between departments and teams.
Seeks to reduce institutional roadblocks to information sharing.
Promotes the understanding of how the department affects the organization overall.
Collaborates with others to accomplish goals and objectives.

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

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

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