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
Ensures that the department's goals are strategically aligned with the company's goals.
Creates a mission statement describing the purpose for the organization.
Inspires employees to adopt the strategic plan.
Identifies root causes of problems.
Maintains knowledge of current trends in the industry.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Thoroughly understands the business needs of the customer.
Assists others in better understanding the company's operations, goals, and strategic challenges.
Involves key stakeholders (employees, customers, investors, partners) in the planning process to gain diverse perspectives and buy-in.
Creates unique strategies that impact the Company.
Provides a high level of business services to customers.
Flexibility	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Responds to changing availability of supplies and resources.
Willing to try new ideas.
Adapts quickly to new technologies that impact the production line.
Focuses on continuous improvement strategies.
Is flexible in solving difficult problems.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Displays high energy and enthusiasm on consistent basis.
Seeks and utilizes opportunities for continuous learning and self-development.
Identifies ways to simplify work processes and reduce cycle times
Motivates others to achieve or exceed goals
Encourages risk taking and experimentation to improve performance
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Constantly enhances product knowledge through experimentation and play.
Is open to feedback from others.
Exhibits willingness to upgrade skills through additional training and education.
Is open minded and curious about learning new skills.
Stays up-to-date on emerging technologies.
Leadership	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides resources to enable individuals to develop professionally.
Motivates and challenges employees to attain a shared vision.
Sits down regularly with employees to review their job performance.
Sets specific, measurable, and challenging goals.
Gives direct, constructive, and actionable feedback.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Highly motivated to complete tasks despite obstacles that may arise.
Responds to changing events to maintain progress toward achieving results.
Recognizes the problem that needs to be solved.
Completes urgent tasks first.
Determined to complete tasks regardless of obstacles that may occur.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets performance objectives for subordinates that encourages development opportunities.
Encourages employees through recognition of positive changes in behavior.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Creates opportunities for professional development.
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.