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
Reduces staff turnover.
Increased revenue for the company.
Increased customer satisfaction scores for the quarter.
Reduced department expenses by 25 percent.
Increased production by 20 percent.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Communicates ideas and facts clearly and effectively in writing.
Clearly explains responsibilities to individuals.
Attends to the important details of a job or task.
Provides a clear vision for the future.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops compliance reports in accordance with federal and industry regulations.
Develops and implements a compliance data recordkeeping system.
Creates documents and reports as needed to maintain compliance with regulations.
Works quickly to implement changes in regulations.
Tracks employee participation in development opportunities as required by industry regulations.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Tailors solutions to meet the specific needs of each client.
Provides training to others on how to improve client service.
Meets with clients on a regular basis.
Is committed to resolving client issues in a positive way.
Responsive to client needs.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports the successes of other employees.
Recognizes and celebrates accomplishments of others.
Assesses employees' developmental needs.
Tries to ensure employees are ready to move to the next level.
Creates opportunities for professional development.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works effectively with people from other departments.
Consistently demonstrates ability and willingness to trust others.
...treats others with respect and dignity.
Forms working relationships with employees from other departments.
Includes others in the decision making processes.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is comfortable operating in an environment of uncertainty.
Has a strategic awareness on how to promote the organization.
Encourages risk taking for developing potential business opportunities.
Able to adapt the department to changing business demands and climate.
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.