Action - 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

Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Undertakes actions to achieve specific goals.
Decides to act rather than remain passive.
Conducts critical-incident review immediately after the event.
Takes action in critical situations.
Takes responsibility for actions.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Stays up-to-date on emerging technologies.
Constantly enhances product knowledge through experimentation and play.
Demonstrates a willingness to participate in continuing education courses.
Is committed to enhancing their own knowledge and skills.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understanding what others need.
Has excellent influencing/negotiating skills.
Ensures stakeholders are involved in the decision making process.
Seeks to obtain consensus or compromise.
Able to express own goals and needs.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in performing his/her job.
Effectively organizes resources and plans
Works well in this position.
...Overall Performance
Listens and responds to issues and problems
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages open communication to ensure that all proposals are considered.
Fosters a creative and innovative work environment.
Searches for opportunities and innovative ways to improve the organization.
Takes risks to advance important ideas.
Implements best practices within the department.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Eliminates bureaucratic barriers to streamline processes.
Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
Sets challenging goals for the department.
Sets performance metrics to measure achievement or attainment of goals.
Motivated to exceed performance goals.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates the functional or technical skills necessary to do their job.
Is planful and organized.
Takes a lot of pride in their work.
Can be counted on to add value wherever they are involved.
Produces high quality work.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a role model for others demonstrating the importance of interpersonal skills.
Is transparent and honest in communications, intentions, and actions.
Strives for win/win solutions
Expresses appreciation of other's work.
Values the opinions of others.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides clear, motivating, and constructive feedback.
Meets regularly with employees to coach them on areas that will enhance their performance
Addresses employee behavior problems effectively.
Helps employees to maintain high personal standards.
Conducts regular performance appraisals and feedback.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to distinguish and navigate between different negotiation strategies and styles.
Maintains control over emotions to ensure a constructive environment.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Demonstrates emotional stability to facilitate productive problem-solving and relationship building.
Establishes good working relationships with others.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops good plans used for logistics.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Ensures staff are held accountable for following the department plan.
Able to identify the needs of the department before a major change.
Accurately estimates the duration of tasks.

56. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
57. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
58. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
59. Additional comments, if any for [Participant Name Here]'s assessment.