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
Executes tasks with precision and speed.
Successfully launched the ABC project.
Set high standards in their performance
Demonstrates improvement in performance.
Adheres to established guidelines and best practices to drive consistent, high-quality performance.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Achieves high levels of performance.
Makes sure employees have the resources they need to achieve their results.
Follows up consistently on commitments and deadlines to ensure progress is sustained.
Achieves long and short-term goals.
Establishes clear performance standards and reinforces them through regular feedback.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Welcomes input and suggestions from others.
An effective listener who is responsive to information needs.
Communicates crucial information to others.
Presents information in a clear and logical format.
Delivers effective public presentations.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes performance standards for the team/department.
Informs supervisor of progress without having to be asked about it.
Acts like an owner when they make decisions.
Recognizes when a mistake is made and works to correct the issue.
Handles sensitive information with discretion and confidentiality.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Protects the integrity and confidentiality of subject data by anonymizing personal information.
Is the same person in public and in private.
Works towards developing an environment built upon trust
Shows respect for individuals by addressing any concerns or feedback directly with them rather than discussing them behind their backs.
Takes responsibility for commitments ensuring that they are met.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Guides conflicting parties toward shared solutions that balance organizational goals with individual needs.
Aligns individual capabilities and development needs to optimize team execution of the project plan.
Links team efforts to mission-critical outcomes and long-term vision.
Is committed to doing the best job possible.
Identifies areas for growth and recommends concrete actions to address them.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to create quality initiatives to be implemented organization-wide.
Assists quality control inspectors.
Implements appropriate training to maintain high quality standards.
Sets high benchmarks for employees to achieve.
Successfully implements quality controls within the department.
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Applies complex rules and regulations to maintain optimal system performance.
Supports employee training and development initiatives regarding implementation of technology.
Supports technical training and development of employees.
Maximizes the use of new technology to deliver products and services.
Uses technology in decision making and problem solving.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Determines the impact of specific risks on marketplace.
Determines if the level of risk is tolerable.
Able to adapt quickly to changing situations.
Works within constraints of the organization.
Aware of appropriate actions to minimize risks.
Responsible	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.
Behavior is ethical and honest.
Completes assigned work tasks.
Holds herself / himself accountable to goals / objectives
Sets a good example
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters a culture of appreciation and sincere recognition.
Recognizes when the team excels on a project or reaches a major milestone.
Maintains appropriate documentation regarding award recipients.
Gives spontaneous recognition in the proper context.
Links recognition to the employee's professional development and growth.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains a high level of energy to respond to demands of the job.
Seeks and utilizes mentors to help guide professional development.
Excellent at managing relationships with stakeholders.
Devotes a certain amount of time and effort to developing new business opportunities.
Encourages risk taking for developing potential business opportunities.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to explain departmental policies and procedures to others.
Adept at navigating within the culture of the department.
Gets things done through the department.
Able to use corporate politics to advance department objectives.
Able to deal with sensitive issues with tact and professionalism.

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.