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.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

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
Driven to complete goals despite obstacles that may arise.
Demonstrates improvement in performance.
Takes immediate action of projects fall behind schedule.
Works at a quick pace to complete a high volume of work.
Makes use of talents of others to help achieve a high level of performance.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks to reduce ambiguity in messaging and documents.
Provides a clear vision for the future.
Uses appropriate grammar and tense in communications.
Avoids creating ambiguity or mixed messages.
Attends to the important details of a job or task.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Implements regulatory changes in a timely manner.
Is aware of federal and local laws affecting employees.
Maintains a state of readiness to address new and changing regulations and procedures.
Performs regular compliance audits.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Actively listens to concerns from clients.
Gets feedback from the client on a weekly basis.
Makes sure team members understand the issues faced by the client.
Exhibits a positive attitude even when dealing with difficult clients.
Is aware of what the client wants to receive.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is open to receiving feedback.
Assigns tasks and responsibilities to develop skills of others.
Supports the successes of other employees.
Recognizes and celebrates accomplishments of others.
Provides constructive feedback to others.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports the efforts of other employees in implementing solutions to problems.
Treats others with respect and dignity.
Works effectively with people from other departments.
...treats others with respect and dignity.
Is able to see issues from others' perspectives.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Can work effectively in an environment of uncertainty.
Maintains a high level of energy to respond to demands of the job.
Balances risks and rewards when making decisions.
Understands the processes and various stages of business development.
Exhibits determination and passion in completion of goals.

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.