Achievement - 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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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
Eliminates bureaucratic barriers to streamline processes.
Increased customer satisfaction scores for the quarter.
Takes calculated risks to achieve difficult goals.
Strives to meet goals and objectives.
Sets challenging goals for the department.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Checks details thoroughly.
Maintains clarity in goals and objectives.
Clearly explains the vision and goals of the company.
Clearly explains responsibilities to individuals.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is professional and courteous in interactions with auditors and regulators.
Ensures appropriate followup for regulatory violations.
Tracks employee participation in development opportunities as required by industry regulations.
Develops a confidential reporting system to enable employees to anonymously report safety violations.
Knows who to contact at various regulatory agencies if needed.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Their activities reflect a strong focus on the client relationship.
Addresses client complaints immediately.
Manages client accounts with high degree of competence.
Engages with clients on multiple levels.
Treats clients with courtesy and respect.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a work environment that fosters positive feedback to employees.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Is open to receiving feedback.
Assigns tasks and responsibilities to develop skills of others.
Assesses employees' developmental needs.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is able to see issues from others' perspectives.
Includes others in the decision making processes.
Helpful
Works effectively with people from other departments.
Treats others with respect and dignity.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks and utilizes mentors to help guide professional development.
Understands the processes and various stages of business development.
Devotes a certain amount of time and effort to developing new business opportunities.
Takes the initiative to complete tasks.
Encourages risk taking for developing potential business opportunities.

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

    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 [Participant Name Here]'s assessment.