Strategic Insight- 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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Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Inspires employees to adopt the strategic plan.
Identifies potential problems before they become critical incidents.
Understands how to strategically grow the business and increase customers.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.
Identifies emerging trends by monitoring shifts in employee behavior, customer feedback, and market dynamics.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Rewards risky ideas that may yield significant benefits to the business.
Understands the critical business needs of the customer.
Understands complex issues and problems.
Able to align resources to meet the business needs of the company.
Understands how strategic decisions impact constituents within the Company.
Flexibility	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Changes strategies based on new information.
Adapts easily to incorporate various perspectives.
Flexible in adjusting to the demands of the market place.
Solves problems using innovative solutions by keeping an open mind and considering the input from others.
Can easily accommodate changes in personnel of the department.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Starts tasks immediately and then updates the course of action as needed.
Reduces interruptions and stay focused on their objectives.
Displays high energy and enthusiasm on consistent basis.
Approaches tasks with enthusiasm and a problem-solving mindset that inspires colleagues.
Adapts to changing circumstances and finds new ways to achieve goals.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Constantly enhances product knowledge through experimentation and play.
Stays up-to-date on emerging technologies.
Holds self and associates accountable for goal achievement.
Creates an environment that supports personal development and exploration.
Enjoys learning new skills and techniques.
Leadership	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides feedback consistently, not only during formal reviews but throughout projects.
Provides feedback impartially, based on performance and results, not personal bias.
Expects participation by all team members.
Assigns stretch goals that push employees to perform beyond current capabilities.
Takes an active interest in the success of others.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Focuses on achieving important goals.
Conducts regular check-ins that focus on progress, roadblocks, and how to support growth.
Sets priorities for tasks to be completed.
Identifies what needs to be accomplished.
Prioritizes tasks to best achieve the results.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees through recognition of positive changes in behavior.
Sets performance objectives for subordinates that encourages development opportunities.
Tries to ensure employees are ready to move to the next level.
Provides constructive feedback to others.
Creates opportunities for professional development.

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.