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
Attends industry conferences to gain further insight into how other companies deal with similar issues.
Understands how to strategically grow the business and increase customers.
Maintains knowledge of current trends in the industry.
Recognizes the needs of customers.
Meets with customers to gain insight into their core needs and how best to serve them.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the dynamics of our industry.
Periodically assesses the current market environment.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Understands the costs, profits, markets, and added value of issues.
Able to correctly assess current/estimated valuations.
Flexibility	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Open to the perspectives/viewpoints of others.
Adapts to circumstances as needed.
Adapts to new organizational structures, policies, or procedures.
Encourages others to adopt new procedures.
Works effectively during periods of change.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Displays high energy and enthusiasm on consistent basis.
Seeks and utilizes opportunities for continuous learning and self-development.
Completes work on time
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes initiative for own learning and development.
Exhibits willingness to upgrade skills through additional training and education.
Enhances value to the company through additional training and development.
Demonstrates a willingness to participate in continuing education courses.
Enjoys learning new skills and techniques.
Leadership	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is a highly effective supervisor.
Provides resources to enable individuals to develop professionally.
Acts decisively in implementing decisions.
Recognizes individual and team accomplishments and reward them appropriately.
Motivates and challenges employees to attain a shared vision.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Holds others accountable for producing high quality work.
Is considered a high achiever.
Focuses on achieving important goals.
Motivated by a strong desire to exceed performance standards.
Stays focused on solving problems and getting work done.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets performance objectives for subordinates that encourages development opportunities.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Supports the successes of other employees.
Tries to ensure employees are ready to move to the next level.
Provides constructive feedback to others.

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.