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 not procrastinate when there is a job to be done.
Establishes the tasks and direction for the team.
Takes action in critical situations.
Takes the initiative and does not wait for the situation to change.
Addresses performance issues quickly.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Holds self and associates accountable for goal achievement.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Demonstrates a willingness to participate in continuing education courses.
Embraces new technology and procedures.
Takes advantage of training opportunities when they arise.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates effectively with others.
Attempts to persuade others rather than simply control them.
Develops a good rapport with others.
Has excellent influencing/negotiating skills.
Able to express own goals and needs.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Listens and responds to issues and problems
Sets a high standard for job performance.
...Produce Quality
Effectively organizes resources and plans
Able to organize work.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Promotes innovation as an opportunity to gain competitive advantages in the marketplace.
Empowers employees with the technical skills essential for driving innovation and achieving strategic goals.
Simplifies processes and reduce bureaucratic hurdles that might stifle creativity and innovation.
Utilizes disruptive innovation to help managers transform conventional business models, making products and services more accessible and affordable.
Enhances the feasibility and impact of new ideas through careful analysis and iterative improvements.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes work promptly and efficiently.
Increased revenue for the company.
Improved the quality of work on the production line.
Is determined to complete tasks regardless of obstacles that may occur.
Completes work to given time frame and to budget
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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.
Keeps themselves and others focused on constant improvement.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates positive behaviors for others to follow.
Attends to both the content and the context of what was being said.
Anticipates the concerns of other employees.
Honesty and integrity are core tenets of interpersonal relationships.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to maintain high personal standards.
Develops the skills and capabilities of others.
Addresses employee behavior problems effectively.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Justifies viewpoints using strong and credible data.
Able to manage and resolve conflicts constructively.
Able to control their emotional responses and correctly gauge the emotions of others.
Develops a unified understanding or strategy that acknowledges and addresses the different viewpoints and resolves conflicts.
Creates a constructive atmosphere, building a positive relationship for cooperative negotiations.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Determines what supplies/equipment will be needed for the job.
Determines the allocation of funds based on plans for future development.
Always has a "Plan-B" ready if needed.
Plans for future staffing needs.
Develops proper plans to ensure seamless flow of materials through logistics.

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.