Global Perspective- 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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Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to work with others from different cultures and countries.
Sets the example for team on importance of cultural awareness.
Is able to work with individuals having different backgrounds and cultures.
Demonstrates a curiosity about diverse individuals and cultures.
Volunteers for experiences and assignments abroad.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Constructively receives criticism and suggestions from others.
Is able to see issues from others' perspectives.
...treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Helpful
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Considers problems from multiple angles to uncover new approaches.
Bridges departmental divides to foster shared creative ownership.
Reimagines systems to enhance performance and adaptability.
Blends ideas from different domains to spark innovation.
Provides autonomy for individuals to explore ideas beyond their immediate tasks.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets long and short term goals.
Ensures employees are trained in areas where performance may be lacking.
Places employees on probation if they fail to meet minimum performance standards.
Assigns responsibility for meeting specific objectives.
Ensures employees understand their performance expectations.
Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Defends the long-term vision against short-term pressures that compromise integrity or purpose.
Is calm and avoids emotional outbursts.
Prepares thoroughly for negotiations by anticipating objections, identifying leverage points, and mapping paths to agreement.
Develops sales pitches based on the unique needs of the customers.
Uses a high personal reputation to gain acceptance from others for a point of view.
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates a strong commitment to achieving quality goals.
Promotes quality improvement practices in the department.
Engages and leads staff in implementation of new quality procedures.
Maintains detailed instructions to ensure consistency and quality in the production line.
Solves quality control issues.
Initiative	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Updates the documentation as soon as the situation changes.
Acts with urgency when time is limited.
Analyzes the needs of the situation and acts before being told to do so.
Is a self-starter. Does not wait to be told to do something.
Seeks and utilizes opportunities for continuous learning and self-development.
Responsible	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Responsible for setting the vision of the department.
Sets a good example.
Holds herself / himself accountable to goals / objectives
Behavior is ethical and honest.
Is a person you can trust.

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.