Trustworthy - 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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is trustworthy; is someone I can trust.
Is a person you can trust.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Takes care to maintain confidential information.
Delivers on promises made.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accurately implements contract provisions.
Enthusiastic about taking on challenging projects.
Implements and uses performance measures.
High attention to detail.
Has strong technical/computer skills.
Flexibility	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is open to alternative ways to accomplish goals
Willing to try new ideas.
Adapts to circumstances as needed.
Open to the perspectives/viewpoints of others.
Implements changes as a result of having listened to employees
Attitude	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Shows by their actions that they trust in the positive intentions of others.
Contributes to a positive and fun work environment.
Is gracious and professional in their interactions with others.
Contributes to a positive work environment.
Works to eliminate unnecessary work or barriers that get in others' way.
Emotional Intelligence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accurately perceives the emotional reactions of others.
Able to understand others' points of view.
Is able to express themselves clearly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is attentive to emotional cues and interprets others' feelings correctly.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes sure the team's goals are met.
Reviews job performance shortly after completion of tasks.
Ensures team members receive rewards for positive performance accomplishments.
Ensures employees understand the goals of the organization/department.
Informs team members how their performance compares to stated goals.
Safety	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies and addresses safety needs.
Participates in safety training as applicable.
Works to implement corrective safety measures.
Supports our company's safety programs.
Participates in safety training when offered.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the vision of the Company and promotes it ahead of any self-interests.
Communicates the vision and strategy of [Company]
Communicates a vision of where the Company needs to be in the future.
Develops action plans to align his/her work with the goals of the organization
Demonstrates consistency between words and actions

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.