Achievement - 360 Degree Feedback Survey Sample #5

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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Completes work to a high technical standard
Follows-up and takes action when goals are not met to ensure better results in the future.
Systematically works to improve the organization
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains clarity in goals and objectives.
Attends to the important details of a job or task.
Avoids creating ambiguity or mixed messages.
Clarifies problems and their causes to help employees correct them.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures regulations are followed as required.
Maintains a state of readiness to address new and changing regulations and procedures.
Explains regulations and procedures to others as required.
Addresses issues quickly before they develop into major problems.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Satisfies client needs.
Maintains strong relationships with clients.
Ensures client commitments and requirements are met or exceeded
Forms strong client relationships
Looks for opportunities that have a positive impact on Clients.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides constructive feedback to others.
Creates opportunities for professional development.
Is open to receiving feedback.
Supports the successes of other employees.
Tries to ensure employees are ready to move to the next level.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Respects the opinions of other employees.
...treats others with respect and dignity.
Able to see issues from others' perspectives.
Supports the efforts of other employees in implementing solutions to problems.
Forms working relationships with employees from other departments.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages dynamic growth opportunities.
Exhibits determination and passion in completion of goals.
Finds unique ways to go around barriers to success.
Able to adapt the department to changing business demands and climate.
Encourages risk taking for developing potential business opportunities.

36. Overall, please rate the effectiveness of .
    

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

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for 's assessment.