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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Thank you for your participation in the survey.

Management Team

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Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is trustworthy; is someone I can trust.
Takes ownership, delivers on commitments
Delivers on promises made.
Is a person you can trust.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides assistance to others in obtaining passports, visas, and other international travel documents.
Prepares payroll and tax forms/reports.
Assists in the preparation of responses to RFQs and RFIs.
Ensures proper passports, visas, or travel documents are in order and prepares any necessary documentation for travel.
Accurately performs data entry.
Flexibility	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accommodates the needs of employees when requests for time off are made.
Able to produce goods and services across a wide spectrum of business needs.
Innovates skills and modifies behaviors to remain flexible in addressing important issues.
Is flexible in responding to customer needs.
Responds to diverse challenges.
Attitude	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Holds themselves accountable for their performance and results.
Takes ownership for both successes and failures.
Steps forward and volunteers to support time-sensitive tasks without being asked, especially when others are unavailable.
Speaks about projects with language that conveys excitement and possibility.
Shows initiative in resolving challenges rather than waiting for others to intervene.
Emotional Intelligence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is able to express themselves clearly.
Is attentive to emotional cues and interprets others' feelings correctly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to control their own emotions.
Is able to manage their own emotions.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Routinely holds audits of performance on a weekly or monthly basis.
Ensures employees understand their performance expectations.
Holds the team accountable for meeting objectives.
Continuously measures performance and provides feedback to employees regularly.
Sets performance expectations that are clear, specific and concise.
Safety	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works to implement corrective safety measures.
Keeps accurate safety records.
Creates accurate and effective measures of safety.
Mitigates hazards and safety issues that arise.
Participates in safety training when offered.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a workplace culture that reflects the organizational vision.
Develops a schedule that outlines specific phases, measurables, and deadlines, ensuring that work is systematically aligned and coordinated with the organization's vision.
Entrusts team members with executing the vision.
Establishes an inspiring and strategic vision for the department.
Persuades others to follow the Company'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.