Bias for 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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Bias for Action	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Focuses on what matters most and allocate time and resources effectively.
Initiates action on tasks without being prompted to do so.
Is not afraid to take corrective action when necessary.
Prefers taking action and making decisions promptly rather than subjecting questions to prolonged analyses and extensive committee reviews.
Proactively addresses potential problems.
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effectively organizes resources and plans
Sets long-term and short-term goals.
Communicates goals and objectives to employees.
Establishes goals and objectives.
Encourages me to take on greater responsibility.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Builds long term relationships with clients.
Prioritizes the needs and preferences of the client.
Maintains up-to-date information regarding client products.
Satisfies client needs.
Anticipates and proactively resolves issues that the client may face.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures that rewards and recognition have meaning for the employees receiving them.
Is fair when making any monetary awards.
Establishes recognition as an important part of the organizational culture.
Is an effective advocate for recognition programs in the department/organization.
Recognizes individuals for a specific outstanding achievement.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Balances risks and rewards when making decisions.
Has a strategic awareness on how to promote the organization.
Takes the initiative to complete tasks.
Devotes a certain amount of time and effort to developing new business opportunities.
Seeks and utilizes mentors to help guide professional development.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Monitors expenses and verifies the need for items purchased.
Develops budgets and plans for various programs and initiatives.
Ensures others follow the correct rules and regulations on fiscal matters.
Develops of the department's annual budget.
Keeps excellent records for financial transparency.

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.