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

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Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are willing to revise your own views when presented with new, credible information.
You use current data for decision making.
I understand the importance of maintaining current, accurate information.
You use appropriate techniques to solve problems.
You create graphs, charts, and other visual representations of data making it easier to interpret and communicate findings.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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.
You begin tasks as soon as possible.
You avoid bottlenecks in progress by assigning multiple individuals to critical tasks.
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 hold employees accountable through regular performance reviews.
You do not make excuses for missed deadlines.
You consistently exhibit professionalism in interactions with employees.
You inform supervisor of progress without having to be asked about it.
You can be counted on to do your role well.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You develop trust and confidence from others.
You foster a high standard of ethics and integrity.
You maintain strong relationships with others.
You demonstrate sincerity in actions with others.
You accept responsibility for mistakes.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are open to the suggestions of others.
You accept the views of others.
You share past experiences with others as learning opportunities.
You are easy to approach with ideas and opinions.
You ask others for their ideas and opinions.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I determine how the risk management information is to be used.
You are concerned about process safety management.
You integrate risk management into strategic decision making.
I determine which are the serious threats.
I take calculated risks by effectively recognizing and managing them.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You seek to reduce the likelihood of accidents.
You work to implement corrective safety measures.
You identify predictable hazards in the workplace.
You participate in safety training as applicable.
You develop a sustainable safety culture.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I assist employees that need help.
I demonstrate a high degree of ethics and integrity in the workplace.
You demonstrate willingness to work with others.
I am a committed and reliable partner.
You are a role model for others demonstrating the importance of interpersonal skills.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I create a culture where employees are given the opportunity to take the initiative and make impactful decisions.
I acknowledge and appreciate employees for their proactive decision-making.
I entrust employees with important responsibilities.
You encourage employees to solve problems on your own.
I allow employees to take ownership of their work.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You identify bottlenecks in the production process and develops strategies to correct these issues.
You coordinate the implementation of the strategy with stakeholders.
I strategically focus efforts to improve operational efficiencies.
I detect changes in the environment and updates the strategic plan to address new opportunities or threats.
I maintain strategic focus by regularly reviewing the strategic plan and taking corrective actions as needed to stay on track.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You understand the use of [Company] products and services.
You express loyalty and dedication to [Company] in interactions with others.
You understand how decisions impact other business units beyond your immediate department of work group.
You impress upon others the important aspects of [Company].
You follow existing procedures and processes.

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.