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
Does whatever it takes (within reason) to get the job done.
Drives and mobilizes others progress toward goals.
Effectively makes decisions
Gets the job done.
Is not afraid to take corrective action when necessary.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is committed to enhancing their own knowledge and skills.
Holds self and associates accountable for goal achievement.
Will participate in training classes even if offered outside of normal working hours.
Takes advantage of training opportunities when they arise.
Demonstrates through personal behavior the commitment to high standards of performance.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Attempts to persuade others rather than simply control them.
Ensures stakeholders are involved in the decision making process.
Has excellent influencing/negotiating skills.
Develops a good rapport with others.
Able to express own goals and needs.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively organizes resources and plans
Shown significant improvement in job performance.
Sets a high standard for job performance.
Has great overall performance
...Produce Quality
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops new products and services.
Challenges current procedures to develop other alternatives.
Creates improved methods or solutions for meeting goals and objectives.
Finds creative ways to get things done with limited resources.
Encourages open communication to ensure that all proposals are considered.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Strives to exceed standards of performance.
Helps others to improve or meet standards of performance.
Takes reasonable risks to achieve desired results.
Completes work to a high technical standard
Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Takes a lot of pride in their work.
Produces high quality work.
Demonstrates the analytical skills to do their job.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to work with individuals at all levels of the Company.
Expresses appreciation of other's work.
Creates an atmosphere that supports the open expression of ideas
Adapts management style to meet the needs of the individual or situation.
Provides constructive feedback in a way that fosters acceptance and development.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Conducts regular performance appraisals and feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Helps employees to maintain high personal standards.
Helps employees to understand responsibilities, authority, and expectations.
Addresses employee behavior problems effectively.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains good interpersonal relationships with representatives from the other party.
Stays calm and focuses on the core issues to be discussed.
Is able to decline bad ideas to avoid making poor decisions.
Establishes good working relationships with others.
Able to clearly express thoughts and concerns.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Closely follows the plan established for the department.
Allows input from others for the 5-year plan.
Develops strategic plans for ensuring competitiveness in the marketplace.
Divides complex tasks into smaller steps to measure progress toward a goal.
Is good at planning for the "unexpected".

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.