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

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.