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.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Does not allow own emotions to interfere with the performance of others.
Consciously controls own negative emotions in order to keep team morale up.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adds value to the department/organization.
Creates a lot of new ideas.
Inspires creativity in their team.
Is creative and inspirational.
Conceives, implements and evaluates ideas.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks to reduce obstacles in communication that might arise from cultural differences.
Views diversity as a strength, not as an issue.
Actively listens to other employees' stories about their culture.
Willing to work with employees who have different cultural backgrounds.
Seeks knowledge and information about other cultures.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works cooperatively with others to solve problems.
Able to balance the needs of different people in a solution to a problem.
Finds creative ways to get things done with limited resources.
Implements effective solutions to critical problems.
Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ranks the importance of tasks to make sure critical tasks are completed first.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Assigns tasks based on skills of team members.
Determines which tasks are critical and which tasks are optional.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adjusts communication methods to the needs of the audience.
Makes sure employees understand why they were given certain assignments.
Provides a clear vision for the future.
Communicates ideas and facts clearly and effectively in writing.
Clearly explains responsibilities to individuals.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Observes, monitors and coordinates compliance activities.
Complies with trade agreements affecting international companies.
Uses operational compliance reports to evaluate the effectiveness of internal processes.
Complies with regulatory requirements for the state.
Creates a company compliance manual for distribution to the employees.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees to explore new partnership opportunities to expand market presence.
Inspires employees to seek out new collaboration opportunities to broaden market reach.
Is comfortable working in partnership with colleagues from other departments.
Engages in continuous dialogue through regular meetings or virtual meetups.
Maintains a network of partners and suppliers to facilitate global operations.

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.