Analytical Skills - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to participate in a 360-assessment. As part of this process you will need to complete the self-assessment questionnaire below.

In responding to the questions below, think about your experiences over the last 12 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. A report will be shared with you at the conclusion of this project.

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

Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You analyze data and information from several sources and arrives at logical conclusions.
You identifiy opportunities for progress and innovation.
You analyze issues and reduce them to their component parts.
You implement data validation techniques and methods.
You prioritize various actions to be taken when solving a problem.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You rank the importance of tasks to make sure critical tasks are completed first.
You assign tasks based on skills of team members.
You coordinate the work of a team by assigning tasks to other team members.
You spend the most time and effort on critical tasks first.
You can multitask while performing all of your other responsibilities and activities.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You continue to work diligently on a problem despite setbacks.
I accept the consequences for my actions.
I uphold ethical standards even when no one is watching.
You make sure the supervisor is always informed of any important events.
I am prepared and on time for meetings and scheduled events.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You demonstrate sincerity in actions with others.
You follow tasks to completion.
You protect the integrity and confidentiality of information
You foster an environment built upon trust.
You accept responsibility for mistakes.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You consider other's opinion and suggestions.
You ask others for their ideas and opinions.
You are visible and approachable.
You look to others for input.
You accept the views of others.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I determine the potential outcome of adverse risk events.
You understand the possible financial risks of different events.
You accurately perceive potential risks in the workplace and initiates preventative measures.
I conduct regular audits of the risk management framework.
I outline the risk management framework including responsibilities, description of the process, and guidance on evaluating risk criteria and appropriate risk responses.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You point out behaviors in others that may be unsafe.
You encourage others to attend safety training.
You develop a strong safety culture.
You identify and addresses safety needs.
You are not afraid to question a potential safety issue observed in the workplace.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are honest about owning up to mistakes made.
I create diverse teams of individuals with different backgrounds, skills, and abilities.
You successfully resolve conflicts and grievances to a win-win solution.
I give credit where credit is due.
I pay close attention to what is being communicated verbally and nonverbally.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I value the expertise that others bring to the team.
You let employees make their own decisions.
I encourage employees to take on greater responsibilities.
I view others in the department as valued assets to be trained and employed.
You allow employees to make their own decisions.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You strategically deploy resources to areas of the greatest need.
You create deadlines for various components of the strategy.
You create a SWOT matrix to help analyze data.
You communicate goals and objectives to employees.
You caft and execute strategies to advance the company.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You express loyalty and dedication to [Company] in interactions with others.
You follow existing procedures and processes.
You impress upon others the important aspects of [Company].
You understand the "basics" as to how [Company] functions/operates.
You understand the use of [Company] products and services.

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.