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.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

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 a person you can trust.
Takes care to maintain confidential information.
Builds and maintains the trust of others.
Is trustworthy; is someone I can trust.
Takes ownership, delivers on commitments
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Enthusiastic about taking on challenging projects.
Implements and uses performance measures.
Completes reports on-time.
Takes responsibility for decisions.
High attention to detail.
Flexibility	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Willing to change ideas or perceptions based on new information.
Allows workflows to evolve with the employees' creativity.
Works effectively during periods of change.
Is flexible in delivering training content to maximizes the benefits of training but also fosters an inclusive learning environment that can lead to greater team cohesion and productivity.
Will pivot strategies, operations, or processes in real-time to meet new challenges or seize new opportunities.
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.
Shows by their actions that they trust in the positive intentions of others.
Visibly supports and encourages diversity in style and background.
Contributes to a positive work environment.
Emotional Intelligence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to understand others' points of view.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is attentive to emotional cues and interprets others' feelings correctly.
Accurately perceives the emotional reactions of others.
Is able to control their own emotions.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes sure the team's goals are met.
Ensures the eligibility of the proposed award recipient.
Requires employees to participate in additional job training as part of a remediation program.
Determines the Objectives and Key Results (OKRs) needed for the position.
Recognizes people who provide outstanding leadership in planning, organizing.
Safety	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures compliance with safety regulations.
Identifies and addresses safety needs.
Works to implement corrective safety measures.
Participates in safety training when available.
Points out behaviors in others that may be unsafe.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works to support the strategy of [Company]
Aligns subordinates' work with the vision's critical priorities.
Channels team activities towards the vision's core aspects.
Designs and implements a forward-looking vision for the company.
Creates a positive vision of the future for the Company.

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.