Vision- 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for participating in a 360-degree feedback assessment. In this process, you will complete a self-assessment questionnaire (below). You will also receive feedback from others including your manager, peers and direct reports. As you respond, please respond using just your experiences in the past 12 months. Rate each item using the scale shown. 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 you at the conclusion of this assessment to help guide your ongoing professional 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

Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You create a workplace culture that reflects the organizational vision.
I design strategies that mirror the organization's unified vision.
You express the Company vision in a way that is easily understood and adopted by employees.
You create a vision that adds value to the organization.
You inspire employees to support the departmental vision.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You make sure employees understand the strategy and goals.
You effectively translate strategy into operational decisions.
I understand the importance of developing strategic capabilities.
You evaluate and review the implementation of the strategic plan to ensure achievement of the objectives.
I create a strategy to achieve departmental objectives.
Accountability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
I regularly complete tasks on time.
I uphold ethical standards even when no one is watching.
I regularly lead the way when helping the team troubleshoot various issues.
You take ownership of mistakes and learn from them.
I ensure that employee objectives are aligned with the organization's objectives.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You promote training and development opportunities to enhance job performance.
You are open to the suggestions from others.
You look for ways to expand current job responsibilities.
You analyze processes to determine areas for improvement.
You search for new methods, techniques, and processes that increase efficiency and reduce costs.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You have a high attention to detail.
You have strong organizational skills to keep the workspace and department in order
You accurately implement contract provisions.
You are enthusiastic about taking on challenging projects.
You complete reports on-time.
Safety	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You ensure compliance with safety regulations.
You point out behaviors in others that may be unsafe.
You participate in safety training when offered.
You mitigate hazards and safety issues that arise.
You develop a strong safety culture.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You support the successes of other employees.
You assess employees' developmental needs.
You set performance objectives for subordinates that encourages development opportunities.
You create opportunities for professional development.
You encourage employees through recognition of positive changes in behavior.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You help employees to maintain high personal standards.
You provide clear, motivating, and constructive feedback.
You develop the skills and capabilities of others.
You address employee behavior problems effectively.
You help employees to understand responsibilities, authority, and expectations.

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.