Establishing Focus/Direction - 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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Thank you for your participation in the survey.

Management Team

Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets appropriate goals for employees.
Maintains focus when handling several problems or tasks simultaneously.
Makes sure that employees understand and identify with the team's mission.
Aligns the department's goals with the goals of the organization.
Makes sure that employees understand how their work relates to organizational goals.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Investigates risk mitigation strategies.
Develops compliance reports in accordance with federal and industry regulations.
Maintains a compliance data recordkeeping system.
Coordinates with legal counsel investigating any instances of misconduct.
Ensures the company is in compliance with all laws regarding the production and transportation of product.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a work environment that fosters positive feedback to employees.
Recognizes and celebrates accomplishments of others.
Creates opportunities for professional development.
Sets performance objectives for subordinates that encourages development opportunities.
Assigns tasks and responsibilities to develop skills of others.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Collaborates effectively with team members to achieve shared objectives and meet collective needs.
Collaborates with others to accomplish goals and objectives.
Partners with supply chain companies to enhance availability of resources and material.
Maintains communication channels with colleagues in the industry.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes individuals for a specific outstanding achievement.
Is sincerely interested in the suggestions of co-workers
Says "thank you" to show appreciation for work of others.
Compliments other people when they do good work
Readily shares credit and gives others opportunity for visibility.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works effectively with people from other departments.
Treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Is able to see issues from others' perspectives.
...treats others with respect and dignity.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to deal with sensitive issues with tact and professionalism.
Effective in communicating with others within the organization.
Able to explain departmental policies and procedures to others.
Understands the current organizational culture.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Respects individual differences.
Understands how cultures differ and how these differences impact work behavior.
Cooperates with others on a global scale.
Works well with others from different cultural backgrounds.

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

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

    
    
42. Strengths
    
    
    
43. Areas for Development
    
    
    
44. Please give any final comments or suggestions for [Participant Name Here]'s assessment.