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
Maintains focus when handling several problems or tasks simultaneously.
Excellent at managing time.
Makes sure that employees understand and identify with the team's mission.
Stays focused even when under pressure and stress.
Aligns the department's goals with the goals of the organization.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Complies with regulatory requirements for the state.
Explains regulations and procedures to others as required.
Offers training to employees to ensure they are complying with regulations.
Understands the applicable regulations and laws that impact our business.
Implements regulatory changes in a timely manner.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides constructive feedback to others.
Tries to ensure employees are ready to move to the next level.
Creates opportunities for professional development.
Creates a work environment that fosters positive feedback to employees.
Sets performance objectives for subordinates that encourages development opportunities.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks to reduce institutional roadblocks to information sharing.
Creates value within the Company by building networks.
Builds alliances between departments and teams.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes the abilities and skills of self and others
Recognizes team members who offer a significant contribution to a project.
Says "thank you" to show appreciation for work of others.
Offers recognition in a timely manner.
Compliments other people when they do good work
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works across boundaries within the organization.
Forms working relationships with employees from other departments.
Helpful
...treats others with respect and dignity.
Includes others in the decision making processes.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to explain departmental policies and procedures to others.
Effective in communicating with others within the organization.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Gets things done through the department.
Anticipates problems that may affect the department.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Aligns personal vision with global strategies.
Can effectively deliver presentations to international clients.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Facilitates open communication with individuals from other countries.
Forms strong client relationships with international partners.

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.