Action - 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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Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks for extra ways to help the department achieve performance goals.
Takes steps to prepare for the start of the project.
Demonstrates resilience in the face of adversity.
Able to get things done and make things happen.
Works quickly to get the job done.
Feedback	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Fosters a culture where feedback is seen as a valuable opportunity for growth and development.
Demonstrates urgency in addressing behavioral or performance gaps before they escalate.
Hosts training sessions on communication skills, supplying self-assessment tools, and setting up feedback systems.
Fosters a culture of dialogue and performance insights at all levels which is essential for effective feedback in crucial interactions between employees and their managers.
Creates an environment that encourages open communication, mutual respect, and continuous improvement to facilitate effective feedback between managers and their employees.
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Prioritizes tasks for efficiency.
Builds in extra time in the schedule for unplanned events/occurrences.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Plans and organizes continuously while performing all other responsibilities and activities.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies root causes of problems.
Creates strategies that significantly benefit the Company.
Formulates policies and strategies for addressing the Company's important challenges.
Converses with customers and clients to get a better insight into their personal needs.
Educates team members on emerging trends and their implications for current projects or goals.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Establishes a work environment where employees can concentrate without frequent interruptions.
Creates a sense of momentum and forward progress.
Communicates the importance of company initiatives with clarity and enthusiasm.
Has created an excellent training and development department.
Creates flexibility in staffing to adapt to changes.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes and rewards behaviors that are consistent with the company's vision.
Translates the department's vision into actionable objectives and a strategic plan.
Develops a vision to inspire collective action.
Uses storytelling and metaphor to make the vision memorable and emotionally compelling.
Behaves in a way that is consistent with business values & code of conduct

31. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
32. Strengths
    
    
    
33. Areas for Development
    
    
    
34. Please give any final comments or suggestions for [Participant Name Here]'s assessment.