Establishing Focus/Direction - 360 Degree Feedback Survey Sample #5

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

Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Stays focused even when under pressure and stress.
Helps guide employees with prioritizing tasks.
Makes sure that employees understand and identify with the team's mission.
Sets appropriate goals for employees.
Functions well under stress, deadlines, and/or significant workloads.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Explains regulations and procedures to others as required.
Follows all safety regulations and procedures.
Keeps informed of various regulations and procedures.
Understands and adheres to internal and external regulations.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
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.
Encourages employees through recognition of positive changes in behavior.
Provides constructive feedback to others.
Assesses employees' developmental needs.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Partners with peers to obtain influence within the Company.
Seeks an understanding of diverse functions within the Company.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Supports and encourages relationships that are created by diverse team members.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Readily shares credit and gives others opportunity for visibility.
Recognizes individuals for a specific outstanding achievement.
Recognizes team members who offer a significant contribution to a project.
Reinforces and rewards employees for accomplishing necessary goals.
Recognizes the abilities and skills of self and others
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
...treats others with respect and dignity.
Works across boundaries within the organization.
Is able to see issues from others' perspectives.
Respects the opinions of other employees.
Treats others with respect and dignity.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to deal with sensitive issues with tact and professionalism.
Able to use corporate politics to advance department objectives.
Able to explain departmental policies and procedures to others.
Adept at navigating within the culture of the department.
Anticipates problems that may affect the department.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Can effectively deliver presentations to international clients.
Understands how cultures differ and how these differences impact work behavior.
Considers customers point of view when making decisions.
Applies knowledge of overseas markets.
Analyzes global issues/problems that are having a large impact on the Company.

41. Overall, please rate the effectiveness of .
    

    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 's assessment.