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
Helps guide employees with prioritizing tasks.
Makes sure that employees understand how their work relates to organizational goals.
Excellent at managing time.
Maintains focus when handling several problems or tasks simultaneously.
Maintains self-control when personally criticized.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
Complies with regulatory requirements for the state.
Offers training to employees to ensure they comply with regulations.
Interacts with auditors and regulators on a professional basis.
Keeps up-to-date with legislation affecting employees.
Developing Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Assesses employees' developmental needs.
Encourages employees through recognition of positive changes in behavior.
Recognizes and celebrates accomplishments of others.
Provides constructive feedback to others.
Creates a work environment that fosters positive feedback to employees.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates the conditions for partnerships to grow and develop.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Supports and encourages relationships that are created by diverse team members.
Builds alliances between departments and teams.
Seeks an understanding of diverse functions within the Company.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Reinforces and rewards employees for accomplishing necessary goals.
Readily shares credit and gives others opportunity for visibility.
Makes people around them feel appreciated and valued.
Finds opportunities to recognize others.
Offers recognition in a timely manner.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Constructively receives criticism and suggestions from others.
Includes others in the decision making processes.
Helpful
Forms working relationships with employees from other departments.
Supports the efforts of other employees in implementing solutions to problems.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effective in communicating with others within the organization.
Able to explain departmental policies and procedures to others.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to use corporate politics to advance department objectives.
Anticipates problems that may affect the department.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets the example for team on importance of cultural awareness.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Understands how cultures differ and how these differences impact work behavior.
Exemplifies the skills of a global worker.
Demonstrates working knowledge of global transactions.

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.