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Achievement - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Questionnaires Measuring Achievement:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

Sample Result Document:
Sample Results
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



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Achievement

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Develops and follows systematic plans that ensure timely delivery of results and organizational impact.
  1. Created impactful reports for the re-organization committee.
  1. Fosters collaboration and accountability, ensuring success is a collective achievement.
  1. Completes work promptly and efficiently.
  1. Holds others to high standards of achievement.


Clarity

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Clearly explains responsibilities to individuals.
  1. Checks details thoroughly.
  1. Attends to the important details of a job or task.
  1. Makes sure employees understand why they were given certain assignments.
  1. Communicates ideas and facts clearly and effectively in writing.


Regulatory/Compliance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Reviews transactions for potential misconduct.
  1. Is professional and courteous in interactions with auditors and regulators.
  1. Identifies and assesses areas of regulatory or compliance risk.
  1. Aligns reporting systems with risk management frameworks to proactively flag compliance gaps.
  1. Integrates reporting systems with enterprise resource planning (ERP) tools to ensure real-time compliance tracking.


Client Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Identifies the core needs of the client.
  1. Ensures clients are comfortable with the services provided.
  1. Is aware of what the client wants to receive.
  1. Satisfies client needs.
  1. Views client satisfaction as an everyday priority.


Developing Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Develops employees by offering and encouraging them to take on new or additional responsibilities.
  1. Creates opportunities for professional development.
  1. Encourages employees through recognition of positive changes in behavior.
  1. Sets performance objectives for subordinates that encourages development opportunities.


Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is able to see issues from others' perspectives.
  1. Respects the opinions of other employees.
  1. Able to see issues from others' perspectives.
  1. Forms working relationships with employees from other departments.
  1. Consistently demonstrates ability and willingness to trust others.


Entrepreneurship

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Seeks and utilizes mentors to help guide professional development.
  1. Understands the processes and various stages of business development.
  1. Encourages risk taking for developing potential business opportunities.
  1. Exhibits determination and passion in completion of goals.
  1. Has a strategic awareness on how to promote the organization.



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






  2. Strengths


  3. Areas for Development


  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.