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
Rapidly completes tasks and assignments.
Allocates resources as needed to accomplish organizational goals.
Makes use of talents of others to help achieve a high level of performance.
Strives to meet goals and objectives.
Highly motivated to achieve or exceed performance standards.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Determines the proper order for completion of the tasks.
Is a high achiever.
Exceeds performance requirements.
Flexible and willing to change the strategy to better achieve the objectives.
Has a strong result orientation.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delivers effective public presentations.
Conducts impactful training sessions.
Uses polite language and shows respect for others' opinions and time.
Listens attentively and responds thoughtfully, showing they value the conversation.
Writes complete and developmentally-oriented performance appraisals with clear goals, using SMART criteria
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Lets supervisor know of any setbacks to the progress on achieving goals.
Expects employees to account for their actions and performance.
Informs the supervisor if progress on the task has been delayed.
Maintains honesty and transparency in all communications.
Able to complete required tasks on time and delivered expected results.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes relationships of trust, honesty, fairness, and integrity.
Demonstrates honesty and truthfulness at all times.
Maintains strong relationships with others.
Protects the integrity and confidentiality of information
Accepts responsibility for mistakes.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is ready to offer help
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
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
Corrects issues in a timely manner.
Encourages employees to produce the best quality products.
Reflects on what is working and what could be improved.
Encourages others to produce the highest quality work products.
Always strives to produce the highest quality work products.
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.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Supports technical training and development of employees.
Uses technology in decision making and problem solving.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is aware of the financial implications of certain risks.
Accurately perceives potential risks in the workplace.
Recognizes that small changes may snowball into major events.
Knows how to obtain desired results with minimal losses.
Develops policies for risk management.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets high personal standards of performance.
Acts as a resource without removing individual responsibility.
Responsible for setting the vision of the department.
Sets a good example
Completes assigned work tasks.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Says "thank you" to show appreciation for work of others.
Compliments other people when they do good work
Makes people around them feel appreciated and valued.
Offers recognition in a timely manner.
Recognizes the abilities and skills of self and others
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages risk taking for developing potential business opportunities.
Finds unique ways to go around barriers to success.
Takes the initiative to complete tasks.
Has a strategic awareness on how to promote the organization.
Balances risks and rewards when making decisions.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the current organizational culture.
Effective in communicating with others within the organization.
Gets things done through the department.
Adept at navigating within the culture of the department.
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.