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 identifiy opportunities for progress and innovation.
You identify the root cause of a problem.
You analyze data and information from several sources and arrives at logical conclusions.
You use appropriate techniques to solve problems.
You analyze issues and reduce them to their component parts.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You complete multiple tasks simultaneously.
You organize tasks for the most efficient order of completion.
You recognize and respond to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
You switch attention to more urgent tasks when necessary.
You manage impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You do not make excuses for missed deadlines.
I exhibit a sense of ownership of outcomes and results.
You exhibit good governance in your role as an executive.
I demonstrate a commitment to taking responsibility for actions.
You take full responsibility for team's lack of progress.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You develop trust and confidence from others.
You foster an environment built upon trust.
You follow tasks to completion.
You demonstrate honesty and truthfulness at all times.
You establish relationships of trust, honesty, fairness, and integrity.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are visible and approachable.
You seek feedback to enhance performance.
You are open to the suggestions of others.
You are easy to approach with ideas and opinions.
You accept the views of others.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I evaluate the impact of certain events on the attainment of corporate objectives.
I determine how the risk management information is to be used.
You seek to increase safety in the workplace.
I determine the impact of specific risks on infrastructure.
You determine the amount of deviation from the plan that will be tolerated.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You keep accurate safety records.
You identify predictable hazards in the workplace.
You are not afraid to question a potential safety issue observed in the workplace.
You point out behaviors in others that may be unsafe.
You develop a strong safety culture.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You use tact, compassion, and sensitivity in interactions with others.
You are trusted by peers and co-workers; others are willing to confide in him/her
You express appreciation of other's work.
You successfully resolve conflicts and grievances to a win-win solution.
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 provide support and resources needed to accomplish goals.
You allow employees to have flexible work schedules.
I recognize and reward employees who make important decisions and take action when necessary.
You trust employees are able to complete assigned tasks.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I create a vision for the organization based on how the organization should appear in the future.
I align cross-functional teams to the strategic plan.
You understand how to grow the business and increase customers.
I detect changes in the environment and updates the strategic plan to address new opportunities or threats.
You exhibit a strategic orientation to identify and capitalize on opportunities to advance the organization.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You understand the "basics" as to how [Company] functions/operates.
You follow existing procedures and processes.
You express loyalty and dedication to [Company] in interactions with others.
You understand the use of [Company] products and services.
You understand how decisions impact other business units beyond your immediate department of work group.

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.