Adaptability - 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

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Adaptability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adapts procedures to meet production goals.
Able to adapt to changes in technology and processes.
Adjusts plans to meet the needs of new constraints.
Analyzes situations quickly to determine most pressing needs and possible solutions.
Demonstrates willingness to change to meet the needs of the current circumstances.
Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Steps away from a situation to process appropriate response.
Analyzes interpersonal problems instead of reacting to them.
Uses patience and self-control in working with customers and associates.
Consciously controls own negative emotions in order to keep team morale up.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Holds self and associates accountable for goal achievement.
Demonstrates a willingness to participate in continuing education courses.
Creates an environment that supports personal development and exploration.
Takes advantage of training opportunities when they arise.
Will participate in training classes even if offered outside of normal working hours.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Negotiates with others to obtain consensus.
Translates complex technical or strategic issues into accessible language that motivates action.
Is able to change other people's thoughts, beliefs, and actions.
Successfully wields influence over others.
Describes the issue in terms of the customer's experience to help create a mental image for employees to connect emotionally to issues facing customers.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Increased customer satisfaction scores for the quarter.
Takes decisive action on lagging projects to restore momentum and ensure completion.
Cuts through red tape to enhance efficiency and remove unnecessary hurdles.
Prioritizes time management and coordination, ensuring high-value tasks are addressed efficiently.
Maintains a disciplined and strategic approach to goal achievement, ensuring efficiency and effectiveness.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands how to meet regulatory compliance.
Presents regular/monthly reports to the audit committee.
Recognizes the potential impact of systemic risks.
Is knowledgeable of standard risk management principles.
Responds appropriately to unexplained or unanticipated events.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps commitments made with coworkers.
Offers constructive criticism to have a positive impact on performance.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Is willing to lend a hand to those in the department who need help.
Is honest about making mistakes and willing to fix them.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Actively listens to concerns from clients.
Promptly responds to clients.
Is committed to the client's success.
Looks for opportunities that have a positive impact on Clients.
Creates new and innovative products for clients.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a culture where employees are given the opportunity to take the initiative and make impactful decisions.
Assigns tasks that allow employees to use their critical thinking skills.
Willing to share in the decision making process.
Assigns tasks that are within the skill levels of employees.
Values the opinions of others.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures staff are held accountable for following the department plan.
Regularly makes plans for contingencies.
Always has a "Plan-B" ready if needed.
Assesses the potential impact of changes to the strategic plan.
Understands the process for developing strategic plans for the organization.

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

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

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