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
Demonstrates a sense of responsibility and commitment to public trust.
Consistently keeps commitments.
Demonstrates congruence between statements and actions.
Is a person you can trust.
Takes ownership, delivers on commitments
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to develop, justify and present a budget.
Strong organizational skills to keep the workspace and department in order
High attention to detail.
Completes reports on-time.
Enthusiastic about taking on challenging projects.
Flexibility	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is open to alternative ways to accomplish goals
Able to adapt to new situations.
Adapts to new organizational structures, policies, or procedures.
Willing to try new ideas.
Identifies new opportunities to achieve goals
Attitude	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is gracious and professional in their interactions with others.
Treats all people fairly and with respect.
Builds open and trusting relationships.
Contributes to a positive and fun work environment.
Visibly supports and encourages diversity in style and background.
Emotional Intelligence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is able to manage their own emotions.
Accurately perceives the emotional reactions of others.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to express themselves clearly.
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
Aligns individual and team performance expectations with the organization's expectations.
Reviews job performance shortly after completion of tasks.
Implements remediation plans with follow up after 3 months.
Holds the team accountable for meeting objectives.
Ensures employees are accountable for meeting OKRs.
Safety	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Performs work safely.
Keeps accurate safety records.
Participates in safety training when offered.
Develops safety guidelines for the department.
Supports safety programs and procedures.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates consistency between words and actions
Persuades others to follow the Company's vision.
Creates a common vision for others.
Clearly articulates a vision for his/her work and inspires others to support it
Behaves in a way that is consistent with business values & code of conduct

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.