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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Management Team

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Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes interpersonal problems instead of reacting to them.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Uses patience and self-control in working with customers and associates.
Does not allow own emotions to interfere with the performance of others.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures that employees have the opportunity to experience new and different things to spark their creativity.
Uses imagination to create new solutions to problems.
Motivates others to pursue bold, imaginative ideas.
Seeks out diverse viewpoints to enrich creative problem-solving.
Reframes problems in novel ways to unlock new solutions.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is willing to include individuals with different cultural backgrounds on the team.
Builds trust by acknowledging and valuing each employee's cultural identity.
Welcomes diverse cultural input when shaping organizational strategy or policy.
Encourages inclusive participation in culturally significant events and observances
Values the diverse perspectives from others.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Finds creative ways to get things done with limited resources.
Continuously monitors performance after implementing a solution to ensure it remains effective.
Ability to develop innovative solutions to problems.
Uses a consistent method to evaluate each potential solution against the defined criteria.
Solicits information about the problem from team members.
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.
Switches attention to more urgent tasks when necessary.
Organizes tasks for the most efficient order of completion.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Uses a scheduler/planner to keep tasks organized and on time.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks to reduce ambiguity in messaging and documents.
Maintains clarity in goals and objectives.
Is clear about the roles and duties of team members.
Clarifies problems and their causes to help employees correct them.
Provides a clear vision for the future.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Conducts necessary risk assessments.
Creates and implements training courses for new hires to ensure knowledge of regulations and policies.
Performs annual/monthly compliance audits.
Reviews operations and work flows to ensure compliance with standards.
Knows who to contact at various regulatory agencies if needed.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Facilitates the formation of collaborative relationships with suppliers and vendors.
Understands the potential implications of the partnership.
Partners with other organizations to develop new technologies and processes.
Networks with others in the company to better understand the workflows and operational requirements.
Partners with supply chain companies to enhance availability of resources and material.

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.