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
Anticipates business cycles and trends and makes adjustments in a timely manner.
Maintains knowledge of current trends in the industry.
Analyzes records and reports to obtain insight into potential issues and trends.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Formulates policies and strategies for addressing the Company's important challenges.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Asks the 'right' questions to size up or evaluate situations.
Understands complex issues and problems.
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Able to align resources to meet the business needs of the company.
Flexibility	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works effectively during periods of change.
Identifies new opportunities to achieve goals
Effective in incorporating new ideas.
Implements changes as a result of having listened to employees
Adapts to new organizational structures, policies, or procedures.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages risk taking and experimentation to improve performance
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Completes work on time
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Identifies ways to simplify work processes and reduce cycle times
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Embraces new technology and procedures.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Will participate in training classes even if offered outside of normal working hours.
Enhances value to the company through additional training and development.
Enjoys learning new skills and techniques.
Leadership	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to influence others.
Motivates others to reach and exceed organizational goals and objectives.
Sits down regularly with employees to review their job performance.
Motivates and challenges employees to attain a shared vision.
Expresses clear goals and objectives.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Stays focused on meeting the needs of customers.
Provides clear expectations for employees.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Explains the "whys" behind organizational objectives
Does not become distracted by non-issues or interruptions.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is open to receiving feedback.
Tries to ensure employees are ready to move to the next level.
Creates a work environment that fosters positive feedback to employees.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Assigns tasks and responsibilities to develop skills of 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.