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

Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates strategies that significantly benefit the Company.
Understands how to strategically grow the business and increase customers.
Creates a mission statement describing the purpose for the organization.
Identifies potential problems before they become critical incidents.
Analyzes records and reports to obtain insight into potential issues and trends.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops business plans that are forward looking.
Understands complex issues and problems.
Periodically assesses the current market environment.
Collects valuable customer insights to ensure our services meet their needs.
Understands the costs, profits, markets, and added value of issues.
Flexibility	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to maintain productivity and effectiveness no matter the context.
Fosters a culture where diverse perspectives are valued allowing the team to adapt more easily to changes and draw on a wider range of ideas and solutions.
Delivers a variety of products that vary in type and volume.
Willing to try new approaches to solving problems if the current solution isn't working.
Permits flexible working and flex-time to accommodate employee needs to meet external obligations.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks and utilizes opportunities for continuous learning and self-development.
Displays high energy and enthusiasm on consistent basis.
Motivates others to achieve or exceed goals
Conveys a sense of urgency about addressing problems and opportunities
Completes work on time
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Demonstrates a willingness to participate in continuing education courses.
Is open to feedback from others.
Is committed to enhancing their own knowledge and skills.
Will participate in training classes even if offered outside of normal working hours.
Leadership	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets a high level of performance expectations and challenges others to do the same.
Expresses clear goals and objectives.
Gives direct, constructive, and actionable feedback.
Demonstrates leadership and courage in critical situations.
Takes ownership and accountability for results
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is a high achiever.
Determines the objectives for the project.
Sets benchmarks and milestones to measure progress toward the objectives.
Gives extra effort to solve problems and get work done on time.
Prioritizes goals to complete those in urgent need first.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Tries to ensure employees are ready to move to the next level.
Sets performance objectives for subordinates that encourages development opportunities.
Creates opportunities for professional development.
Is open to receiving feedback.
Assesses employees' developmental needs.

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.