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
Takes care to maintain confidential information.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Communicates an understanding of the other person's interests, needs and concerns.
Consistently keeps commitments.
Works in a way that makes others want to work with her/him.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Has strong technical/computer skills.
Completes reports on-time.
Able to develop, justify and present a budget.
Enthusiastic about taking on challenging projects.
Accurately implements contract provisions.
Flexibility	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Quickly adapts to new circumstances, challenges, or opportunities as they arise.
Possesses a high degree of flexibility to meet the challenges posed by unforeseen circumstances.
Promotes flexibility in approaches by encouraging employees to think outside the box and experiment with new methods and ideas.
Flexible in adjusting to the demands of the market place.
Responds to issues and problems with creative solutions and innovation.
Attitude	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Contributes to a positive and fun work environment.
Visibly supports and encourages diversity in style and background.
Builds open and trusting relationships.
Is gracious and professional in their interactions with others.
Treats all people fairly and with respect.
Emotional Intelligence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is able to control their own emotions.
Is able to manage their own emotions.
Is able to express themselves clearly.
Able to understand others' points of view.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Holds employees accountable for meeting performance expectations.
Informs team members how their performance compares to stated goals.
Uses pre-established key benchmarks to measure performance.
Is proactive in administering the rewards program.
Aligns individual and team goals with the organization's goals and objectives.
Safety	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Committed to safety in the workplace.
Creates accurate and effective measures of safety.
Commits adequate resources toward safety measures.
Ensures compliance with safety regulations.
Participates in safety training when available.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops a vision to empower employees to make more effective decisions.
Is aware of their own actions and how that impacts the department.
Clearly articulates a vision for his/her work and inspires others to support it
Entrusts team members with executing the vision.
Committed to undertaking the implementation of the strategic 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.