Empowering Others- 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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Management Team

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Empowering Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports the decisions of others.
Provides support and resources needed to accomplish goals.
Gives employees important tasks to expand their career options.
Delegates authority to employees and allows them to make their own decisions.
Allows subordinates to perform mission critical tasks.
Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Conducts regular performance feedback discussions with individuals and teams
Updates others on changes or progress in plans and goals.
Implements performance appraisals focused on employee development using SMART criteria
Checks for understanding throughout conversations or group presentations/discussions
Confidently interacts with all tiers of the organization.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Connects with peers across functions to spark new thinking.
Creatively solves difficult problems.
Breaks from the familiar patterns to uncover radically different possibilities.
Creates new product lines.
Reflects on new learning to inspire imaginative thinking.
Self Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Analyzes interpersonal problems instead of reacting to them.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Does not allow own emotions to interfere with the performance of others.
Uses patience and self-control in working with customers and associates.
Continual Improvement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Promotes training and development opportunities to enhance job performance.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Open to the suggestions from others.
Looks for ways to expand current job responsibilities.
Looks for ways to improve work processes and procedures.
Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Helps guide employees with prioritizing tasks.
Balances team workload by redistributing tasks when capacity or availability changes.
Analyzes metrics such as project completion rates, quality of work, or customer satisfaction scores.
Sets expectations for acceptable job performance.
Seeks to understand any external factors that might impact projects being worked on by the department.
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Turns risks into opportunities for advancement.
Accurately perceives potential risks in the workplace.
Monitors enterprise risk management activities for their impact and effectiveness on mitigating risks.
Ensures all components of risk management are in place.
Conducts regular audit of the risk management framework.
Conflict Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Examines differences and disagreements for creative and strategic resolutions.
Translates abstract concerns into actionable steps, helping teams move from confusion to clarity.
Quickly responds to important issues.
Is open and honest to avoid misunderstandings.
Crafts messages that resonate better with the parties involved, making it easier to convey concerns and perspectives in a constructive manner.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effectively represents the department in company gatherings.
Encourages employees to be proud to be part of the company.
Tracks and communicates the company's community contributions to reinforce accountability and pride.
Promotes a speak-up culture where ethical concerns are welcomed and addressed constructively.
Coordinates efforts with other teams to support enterprise-wide campaigns and goals.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Cooperates with others on a global scale.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Attends training seminars and conferences to increase skills in working with others globally.
Engages in problem solving with individuals outside of the country.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.

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

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

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.