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
Makes effective decisions, even when under pressure.
Is not afraid to take corrective action when necessary.
Motivates & supports others to gain skills
Displays high energy and enthusiasm on consistent basis.
Works quickly when faced with difficult problems.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes initiative for own learning and development.
Critiques own performance and learns from experience as a source of continuous improvement.
Is motivated by the desire to be "the best".
Persists until goals are achieved and commitments are met.
Actively seeks to learn by asking questions and listening to all store associates.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Attempts to persuade others rather than simply control them.
Develops a good rapport with others.
Seeks to obtain consensus or compromise.
Ensures stakeholders are involved in the decision making process.
Communicates effectively with others.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has great overall performance
...Produce Quality
Works well in this position.
...Overall Performance
Effectively organizes resources and plans
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Implements best practices within the department.
Encourages open communication to ensure that all proposals are considered.
Searches for opportunities and innovative ways to improve the organization.
Analyzes current procedures and identifies opportunities for improvement.
Challenges current procedures to develop other alternatives.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes work to a high technical standard
Demonstrates a well-organized and timely approach to achieve desired results
Systematically works to improve the organization
Set high standards in their performance
Accepts setbacks and challenges as improvement opportunities
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides constructive feedback in a way that fosters acceptance and development.
Adapts management style to meet the needs of the individual or situation.
Applies appropriate communication techniques to the situation.
Effectively manages conflicts by dealing with them directly and immediately
Is a role model for others
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops the skills and capabilities of others.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Conducts regular performance appraisals and feedback.
Helps employees to understand responsibilities, authority, and expectations.
Meets regularly with employees to coach them on areas that will enhance their performance
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to adapt to changing situations.
Changes communication styles to meet the listener's needs.
Able to control their emotional responses and correctly gauge the emotions of others.
Stays calm and focuses on the core issues to be discussed.
Able to influence others to accept certain positions.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to identify the needs of the department before a major change.
Makes plans and follows through.
Works in an organized manner
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Anticipates obstacles and ways to overcome them.

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.