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 communicate the vision and strategy of [Company]
You understand the vision of the Company and promote it ahead of any self-interests.
You clearly articulate a vision for your work and inspires others to support it
You work to support the strategy of [Company]
You create a positive vision of the future for the Company.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You create plans to develop and promote organizational and area strengths, as well as to address weaknesses.
You are able to decline a poor strategy by proposing alternate strategies.
You communicate goals and objectives to employees.
You monitor performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
You understand your role within the organization.
Accountability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You define roles, rights, and responsibilities of employees.
You are aware of problems or issues that may affect the organization.
You create a consistent process for prioritizing work.
You hold team accountable to meeting goals.
You define roles, rights, and responsibilities of the team.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You are open to the suggestions from others.
You promote training and development opportunities to enhance job performance.
You look for ways to improve work processes and procedures.
You search for new methods, techniques, and processes that increase efficiency and reduce costs.
You analyze processes to determine areas for improvement.
Administrative Skill	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You have a high attention to detail.
You have strong technical/computer skills.
You implement and use performance measures.
You accurately implement contract provisions.
You complete reports on-time.
Safety	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You create accurate and effective measures of safety.
You participate in safety training when available.
You ensure that all supervisors are aware of regulatory and compliance measures.
You are aware of osha safety guidelines.
You ensure compliance with safety regulations.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You provide constructive feedback to others.
You develop employees by offering and encouraging them to take on new or additional responsibilities.
You create opportunities for professional development.
You recognize and celebrates accomplishments of others.
You set performance objectives for subordinates that encourages development opportunities.
Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
You develop the skills and capabilities of others.
You address employee behavior problems effectively.
You help employees to understand responsibilities, authority, and expectations.
You coach employees in how to strengthen knowledge and skills to improve work performance.
You conduct regular performance appraisals and feedback.

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.