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
Works in a way that makes others want to work with her/him.
Demonstrates congruence between statements and actions.
Is a person you can trust.
Takes care to maintain confidential information.
Consistently keeps commitments.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accurately implements contract provisions.
Has strong technical/computer skills.
Strong organizational skills to keep the workspace and department in order
Completes reports on-time.
Implements and uses performance measures.
Flexibility	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works effectively during periods of change.
Encourages flexibility in the onboarding process.
Able to adapt to new situations.
Willing to try new approaches to solving problems if the current solution isn't working.
Exhibits exceptional adaptability in responding to unexpected challenges.
Attitude	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Builds open and trusting relationships.
Works to eliminate unnecessary work or barriers that get in others' way.
Treats all people fairly and with respect.
Visibly supports and encourages diversity in style and background.
Is gracious and professional in their interactions with others.
Emotional Intelligence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Accurately perceives the emotional reactions of others.
Is able to control their own emotions.
Is able to express themselves clearly.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Regularly conducts performance reviews of all employees.
Sets clear and ambitious goals to be met.
Stresses the importance of meeting production quotas.
Communicates OKRs to employees regularly during monthly meetings.
Assigns responsibility for meeting specific objectives.
Safety	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Participates in safety training when offered.
Seeks to reduce the likelihood of accidents.
Encourages others to work safely.
Committed to safety in the workplace.
Supports safety programs and procedures.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops a vision to inspire collective action.
Transforms the current vision into clear objectives and a strategic roadmap.
Crafts a compelling roadmap for the department's future.
Enables employees to commit to the departmental vision.
Sets a schedule for achieving the organization's vision.

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.