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
Systematically works to improve the organization
Completes work to a high technical standard
Sets performance metrics to measure achievement or attainment of goals.
Reduced department expenses by 25 percent.
Inspires others to work with a sense of urgency.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates measures of performance to track progress.
Completes urgent tasks first.
Has a positive attitude that encourages others to continue supporting the production goals.
Achieves long and short-term goals.
Has a strong drive to complete goals despite obstacles that may arise.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Listens attentively and without interrupting team members and customers
Transforms complicated ideas into simple ones.
Informs supervisor about progress made on goals and objectives.
Maintains eye contact to foster direct communication.
Presents information in a clear and logical format.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes ownership of problems to find the best solutions.
Is personally invested in the success of the organization.
Expects employees to account for their actions and performance.
Commits to leading the initiatives to solving critical issues.
Informs supervisor of progress without having to be asked about it.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters a high standard of ethics and integrity.
Demonstrates sincerity in actions with others.
Accepts responsibility for mistakes.
Develops trust and confidence from others.
Follows tasks to completion.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
Delegate tasks effectively
Sets an example for others to follow
Makes you feel enthusiastic about your work
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Quickly identifies critical issues impacting quality.
Creates effective policies regarding quality of services and products.
Able to identify quality issues critical to the organization.
Encourages employees to produce the best quality products.
Consistently provides timely, accurate, and reliable information on quality measures.
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adopts the implementation of new technology into the workplace.
Supports employee training and development initiatives regarding implementation of technology.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Supports technical training and development of employees.
Proficient in the use of technical systems and processes.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks to maintain the long-term viability of the Company through effective risk management.
Ensures that any risky decisions taken are based on informed decision making.
Create continuity plans.
Is aware of process safety management.
Develops appropriate strategies to minimize risks.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets high personal standards of performance.
Holds herself / himself accountable to goals / objectives
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
Lets employees know when they have done well
Recognizes the abilities and skills of self and others
Makes people around them feel appreciated and valued.
Offers recognition in a timely manner.
Is sincerely interested in the suggestions of co-workers
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks and utilizes mentors to help guide professional development.
Understands the processes and various stages of business development.
Can work effectively in an environment of uncertainty.
Encourages risk taking for developing potential business opportunities.
Excellent at managing relationships with stakeholders.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to explain departmental policies and procedures to others.
Effective in communicating with others within the organization.
Anticipates problems that may affect the department.
Adept at navigating within the culture of the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.

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.