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
Makes sure that employees understand and identify with the team's mission.
Maintains focus when handling several problems or tasks simultaneously.
Maintains self-control when personally criticized.
Excellent at managing time.
Aligns the department's goals with the goals of the organization.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Complies with trade agreements affecting international companies.
Is professional and courteous in interactions with auditors and regulators.
Addresses issues quickly before they develop into major problems.
Explains regulations and procedures to others as required.
Creates and maintains necessary regulatory documentation.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates opportunities for professional development.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Supports the successes of other employees.
Encourages employees through recognition of positive changes in behavior.
Assigns tasks and responsibilities to develop skills of others.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Collaborates with others to accomplish goals and objectives.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Creates the conditions for partnerships to grow and develop.
Creates value within the Company by building networks.
Partners with peers to obtain influence within the Company.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Offers recognition in a timely manner.
Reinforces and rewards employees for accomplishing necessary goals.
Says "thank you" to show appreciation for work of others.
Recognizes team members who offer a significant contribution to a project.
Lets employees know when they have done well
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Consistently demonstrates ability and willingness to trust others.
Respects the opinions of other employees.
Treats others with respect and dignity.
Able to see issues from others' perspectives.
Includes others in the decision making processes.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to use corporate politics to advance department objectives.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Understands the current organizational culture.
Effective in communicating with others within the organization.
Adept at navigating within the culture of the department.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Facilitates open communication with individuals from other countries.
Understands how cultures differ and how these differences impact work behavior.
Exemplifies the skills of a global worker.
Able to listen and understand others and discuss issues in a respectful way.
Communicates effectively on a multi-lingual basis.

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.