Achievement - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve 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 and discussed with the employee to foster growth and on-going development.

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

Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is results oriented.
Reduces staff turnover.
Takes calculated risks to achieve difficult goals.
Increased revenue for the company.
Successfully completed the orientation training program.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to give 100% to achieving high results.
Identifies what needs to be accomplished.
Is a high achiever.
Measures progress toward the goal.
Holds self and others accountable for achieving results.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Is willing to give feedback to others even if that feedback is critical of their approach.
Provides feedback in a helpful and respectful way, focusing on improvement.
Responds to questions with accurate and complete answers
Delivers information in a clear, concise, and logical manner.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Reviews performance to determine areas for improvement.
Exhibits good governance in their role as an executive.
Commits to leading the initiatives to solving critical issues.
Defines roles, rights, and responsibilities of employees.
Takes full responsibility for unmet expectations and makes corrective actions immediately.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains strong relationships with others.
Demonstrates sincerity in actions with others.
Develops trust and confidence from others.
Accepts responsibility for mistakes.
Demonstrates honesty and truthfulness at all times.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets an example for others to follow
Delegate tasks effectively
Takes responsibility for things that go wrong
Is ready to offer help
Makes you feel enthusiastic about your work
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Engages and leads staff in implementation of new quality procedures.
Regularly measures product specifications to ensure uniformity and quality control.
Successfully implements quality controls within the department.
Is a role model for quality practices and standards.
Encourages others to achieve high quality standards.
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Supports technical training and development of employees.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Maximizes the use of new technology to deliver products and services.
Supports employee training and development initiatives regarding implementation of technology.
Adopts the implementation of new technology into the workplace.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Conducts regular audit of the risk management framework.
Understands the possible financial risks of different events.
Recognizes that small changes may snowball into major events.
Conducts internal audit of risk assessments.
Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Behavior is ethical and honest.
...takes personal responsibility for results.
Responsible for setting the vision of the department.
Holds herself / himself accountable to goals / objectives
Works in a way that makes others want to work with her/him.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Finds opportunities to recognize others.
Offers recognition in a timely manner.
Makes people around them feel appreciated and valued.
Says "thank you" to show appreciation for work of others.
Compliments other people when they do good work
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Excellent at managing relationships with stakeholders.
Exhibits determination and passion in completion of goals.
Seeks and utilizes mentors to help guide professional development.
Has a strategic awareness on how to promote the organization.
Finds unique ways to go around barriers to success.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gets things done through the department.
Anticipates problems that may affect the department.
Able to explain departmental policies and procedures to others.
Understands departmental policies and procedures.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.

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

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

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