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

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Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates a well-organized and timely approach to achieve desired results	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets performance metrics to measure achievement or attainment of goals.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Driven to complete assignments on time.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Rapidly completes tasks and assignments.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is results oriented.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Flexible and willing to change the strategy to better achieve the objectives.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets a common goals for the team.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides clear expectations for employees.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Directs team in prioritizing daily work activities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responds to changing events to maintain progress toward achieving results.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accurately attends to/understands ideas which are exchanged.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates goals of project, resources required, resources available, etc. to the team	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responds to critical concerns of stakeholders.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes the complex simple.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Overcomes barriers that prevent effective communication.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the importance of holding employees accountable for their work.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts personal responsibility for not meeting expectations.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides clear reasons for underperformance.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts the consequences for their actions.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for seeing the project through to completion.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters an environment built upon trust.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does what was promised.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains strong relationships with others.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters a high standard of ethics and integrity.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates honesty and truthfulness at all times.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes you feel enthusiastic about your work	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delegate tasks effectively	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is ready to offer help	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets an example for others to follow	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep staff informed about what is happening in the company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assists quality control inspectors.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to identify quality issues critical to the organization.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes timeframes for achieving suitable quality levels.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to anticipate quality issues and take preventative actions.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adopts and implements best practices when it comes to quality procedures.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands and is committed to implementing new technologies.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Supports employee training and development initiatives regarding implementation of technology.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maximizes the use of new technology to deliver products and services.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses technology in decision making and problem solving.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Proficient in the use of technical systems and processes.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a risk management strategy for the department.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Designs risk response activities that are proportionate to the level of risk.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Bases decisions on patterns found in fluid/changing information.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responds appropriately to unexplained or unanticipated events.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gathers information regarding potential risks.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responsible for setting the vision of the department.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Holds herself / himself accountable to goals / objectives	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works in a way that makes others want to work with her/him.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
...takes personal responsibility for results.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets a good example	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Says "thank you" to show appreciation for work of others.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Lets employees know when they have done well	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Reinforces and rewards employees for accomplishing necessary goals.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is sincerely interested in the suggestions of co-workers	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes individuals for a specific outstanding achievement.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes the initiative to complete tasks.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages dynamic growth opportunities.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages risk taking for developing potential business opportunities.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Balances risks and rewards when making decisions.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the processes and various stages of business development.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adept at navigating within the culture of the department.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to explain departmental policies and procedures to others.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands departmental policies and procedures.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to use corporate politics to advance department objectives.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Anticipates problems that may affect the department.	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model

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.