Initiative - 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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Initiative	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Launches initiatives that measurably improve team performance, efficiency, or morale.
Acts quickly when an opportunity becomes available.
Demonstrates resilience by learning from failed attempts and applying insights to future actions.
Takes charge when there is a crisis.
Maintains momentum on long-term initiatives despite shifting priorities or limited support.
Allocates resources in advance to support anticipated growth or change initiatives.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates the vision necessary to implement the changes for the department/organization.
Addresses organizational and departmental resistance to changes.
Anticipates changes that radical decisions may have on the department.
Ensures that changes are being implemented correctly.
Facilitates change with minimal resistance.
Understands the consequences that may result from significant changes.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides constructive feedback to others.
Recognizes and celebrates accomplishments of others.
Is open to receiving feedback.
Creates a work environment that fosters positive feedback to employees.
Encourages employees through recognition of positive changes in behavior.
Creates opportunities for professional development.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops budgets and plans for various programs and initiatives.
Effective in using Company's resources.
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors expenses and verifies the need for items purchased.
Develops of the department's annual budget.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Defines a roadmap for realizing the organization's vision.
Guides employees to prioritize crucial components of the vision.
Motivates employees to align with the department's vision.
Creates a vision to align employees around a long-term goal for the department.
Crafts strategic plans that embody the organization's shared vision.
Identifies emerging trends and anticipates future market shifts.

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.