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
Successfully completed the orientation training program.
Takes calculated risks to achieve higher levels of performance.
Completed required training and certification.
Demonstrates a well-organized and timely approach to achieve desired results
Works at a quick pace to complete a high volume of work.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains clarity in goals and objectives.
Uses appropriate grammar and tense in communications.
Seeks to reduce ambiguity in messaging and documents.
Checks details thoroughly.
Clarifies problems and their causes to help employees correct them.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps detailed records of compliance measures.
Reviews documentation and procedures manuals to ensure regulatory compliance.
Maintains compliance with federal, state, and local laws.
Establishes a governance body to monitor and guide the organization's activities.
Uses operational compliance reports to evaluate the effectiveness of internal processes.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is competent in handling difficult clients.
Is aware of what the client wants to receive.
Demonstrates a commitment to client focus.
Makes sure team members understand the issues faced by the client.
Makes sure their interests are aligned with the client's interests.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a work environment that fosters positive feedback to employees.
Is open to receiving feedback.
Tries to ensure employees are ready to move to the next level.
Provides constructive feedback to others.
Assesses employees' developmental needs.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports the efforts of other employees in implementing solutions to problems.
Able to see issues from others' perspectives.
Forms working relationships with employees from other departments.
Treats others with respect and dignity.
Works across boundaries within the organization.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Balances risks and rewards when making decisions.
Encourages risk taking for developing potential business opportunities.
Is comfortable operating in an environment of uncertainty.
Encourages dynamic growth opportunities.
Can work effectively in an environment of uncertainty.

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.