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
Recognizes the needs of customers.
Creates values statement to ensure all employees are working under the same guiding principles.
Identifies root causes of problems.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Strategically aligns projects to the goals of the company.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the costs, profits, markets, and added value of issues.
Describes and summarizes data.
Gathers important information from customers to make sure our products are relevant and useful.
Anticipates marketplace opportunities and supports speed to market.
Understands financial terminology, statements.
Flexibility	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Agile and versatile when responding to critical issues.
Selects strategies according to the demands of the situation.
Remains calm when dealing with multiple issues.
Open to adapting thoughts, behaviors, and strategies in response to evolving situations and new information.
Dedicated to evolving and enhancing business processes, which demonstrates flexibility.
Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks and utilizes opportunities for continuous learning and self-development.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes work on time
Displays high energy and enthusiasm on consistent basis.
Encourages risk taking and experimentation to improve performance
Passion To Learn	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes initiative for own learning and development.
Holds self and associates accountable for goal achievement.
Constantly enhances product knowledge through experimentation and play.
Stays up-to-date on emerging technologies.
Exhibits willingness to upgrade skills through additional training and education.
Leadership	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Leads team to set goals, solve problems, and accomplish tasks.
Is a highly effective supervisor.
Able to align manpower, design work, an allocate tasks to achieve goals.
Effectively leads others.
Sets a high level of performance expectations and challenges others to do the same.
Results Oriented	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages a high-energy, fun work environment and coaches others on how to do the same
Has a strong drive to complete goals despite obstacles that may arise.
Has a strong result orientation.
Determines the best approach to achieving the expected results.
Directs team in prioritizing daily work activities
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Tries to ensure employees are ready to move to the next level.
Encourages employees through recognition of positive changes in behavior.
Recognizes and celebrates accomplishments of others.
Provides constructive feedback to others.
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.