Accountability - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to participate in a 360-assessment. As part of this process you will need to complete the self-assessment questionnaire below.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others. A report will be shared with you at the conclusion of this project.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

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Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You define roles, rights, and responsibilities of employees.
I always keep the supervisor informed of relevant information.
I honor the commitments and promises made to customers/clients.
You hold employees accountable for meeting performance benchmarks.
I regularly complete tasks on time.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You exhibit willingness to upgrade skills through additional training and education.
You will participate in training classes even if offered outside of normal working hours.
You are open minded and curious about learning new skills.
You enhance your value to the company through additional training and development.
You are open to feedback from others.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You regularly check in to ensure the team is on track.
I schedule adequate time for high-priority items.
You create operational models to focus the organization's resources on achieve its strategic priorities.
You select specific strategies and design options to help the organization achieve success within a competitive environment.
I break down larger goals into smaller, manageable milestones to add more structure toward the accomplishment of the goal.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You deeply understand the audience/team.
I identify decision-making inflection points and plan interventions that shape outcomes without force consensus.
I convince department employees of the soundness of a strategic plan.
I overcome employees' resistance to change and action.
I inspire others by articulating how individual roles contribute to a greater organizational purpose.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You generate innovative and practical solutions.
You offer solutions to problems when talking with clients.
You offer constructive improvements to existing systems.
I establish and monitors key performance indicators (KPIs) for innovation.
I optimize innovative ideas for maximum success.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I can complete training on the new equipment.
I can complete required training and certification.
You champion process improvements that enhance productivity, compliance, and overall success.
I maintain unwavering commitment to goals.
You align individual and team aspirations with organizational goals through strategic goal setting.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You value the opinions of others.
I am willing to overlook personal differences and focus on completing the task at hand.
You are honest about owning up to mistakes made.
I am a committed and reliable partner.
I embrace the differences in individuals that comprise the team.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You adapt coaching and mentoring approach to meet the style or needs of individuals
You work to identify root causes of performance problems
You provide ongoing feedback to co-workers on your development progress
You take immediate action on poor performance
You give others development opportunities through project assignments and increased job responsibilities
Strategic Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You formulate policies and strategies for addressing the Company's important challenges.
I inspire employees to adopt the strategic plan.
You maintain knowledge of current trends in the industry.
You understand the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
I recognize unspoken concerns or morale issues through body language, tone, and team interactions.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You allow input from others for the 5-year plan.
I have plans to handle unexpected events.
I develop plans to help manage expectations and project demands.
I identify resource requirements that may impact the development of the 5-year plan.
I can effectively use logistics planning to reduce supply delays.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
53. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
54. Additional comments, if any for [Participant Name Here]'s assessment.