Achievement - 360 Degree Feedback Survey Sample #6

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 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 and . 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
Set high standards in their performance
Systematically works to improve the organization
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Follows-up and takes action when goals are not met to ensure better results in the future.
Demonstrates a well-organized and timely approach to achieve desired results
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Works toward achievement of goals even when confronted with obstacles.
Stays focused on meeting the needs of customers.
Inspires and motivates co-workers to be productive and energetic at work
Explains the "whys" behind organizational objectives
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates effectively with all levels of the organization.
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Listens to others' points of view with an open mind
Checks for understanding throughout conversations or group presentations/discussions
Deals with difficult situations calmly and confidently.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Acts like an owner when they make decisions.
Is aware of problems or issues that may affect the organization.
Is someone you can trust.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Keeps supervisor informed of recent events.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Protects the integrity and confidentiality of information
Establishes relationships of trust, honesty, fairness, and integrity.
Demonstrates honesty and truthfulness at all times.
Fosters an environment built upon trust.
Does what was promised.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep staff informed about what is happening in the company
Delegate tasks effectively
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Sets an example for others to follow
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to produce the best quality products.
Always strives to produce the highest quality work products.
Encourages others to achieve high quality standards.
Reflects on what is working and what could be improved.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Proficient in the use of technical systems and processes.
Maximizes the use of new technology to deliver products and services.
Uses technology in decision making and problem solving.
Supports technical training and development of employees.
Supports employee training and development initiatives regarding implementation of technology.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks to retain the best and brightest employees.
Knows how to obtain desired results with minimal losses.
Rewards innovative experiments to try new ideas.
Responds appropriately to unexplained or unanticipated events.
Seeks to maintain the long-term viability of the Company.
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.
Sets a good example.
Behavior is ethical and honest.
Sets a good example
Is a person you can trust.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes individuals for a specific outstanding achievement.
Lets employees know when they have done well
Finds opportunities to recognize others.
Is sincerely interested in the suggestions of co-workers
Readily shares credit and gives others opportunity for visibility.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to adapt the department to changing business demands and climate.
Excellent at managing relationships with stakeholders.
Finds unique ways to go around barriers to success.
Has a strategic awareness on how to promote the organization.
Devotes a certain amount of time and effort to developing new business opportunities.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to deal with sensitive issues with tact and professionalism.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Understands departmental policies and procedures.
Able to use corporate politics to advance department objectives.
Understands the current organizational culture.

66. Overall, please rate the effectiveness of .
    

    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 's assessment.