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 prioritize various actions to be taken when solving a problem.
You identify problems and issues needing resolution.
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 ensure that assignments are prioritized according to the needs of the department/company.
You prioritize tasks for efficiency.
You observe, analyze, and respond to merchandise needs while serving customers and accomplishing operational tasks.
You avoid bottlenecks in progress by assigning multiple individuals to critical tasks.
You integrate developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You accept accountability for your actions and results.
You define roles, rights, and responsibilities of employees.
You are someone who is trustworthy.
You keep you supervisor informed of recent events.
You are aware of problems or issues that may affect the organization.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You demonstrate honesty and truthfulness at all times.
You foster an environment built upon trust.
You foster a high standard of ethics and integrity.
You protect the integrity and confidentiality of information
You follow tasks to completion.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You consider other's opinion and suggestions.
You are visible and approachable.
You seek feedback to enhance performance.
You share past experiences with others as learning opportunities.
You actively seek feedback from others.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You base decisions on patterns found in fluid/changing information.
You evaluate risks against acceptable risk levels.
You respond appropriately to unexplained or unanticipated events.
You seek to increase safety in the workplace.
You avoid maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You develop a culture of safety.
You create accurate and effective measures of safety.
You work to implement corrective safety measures.
You encourage others to work safely.
You develop safety guidelines for the department.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You provide constructive feedback in a way that fosters acceptance and development.
You value the opinions of others.
You express appreciation of other's work.
You successfully resolve conflicts and grievances to a win-win solution.
You anticipate the concerns of other employees.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You assign tasks that are within the skill levels of employees.
You are willing to share in the decision making process.
You set clear goals for others to accomplish.
You trust employees to complete tasks assigned.
You are confident in the abilities of employees assigned important tasks.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You monitor performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
You create plans to develop and promote organizational and area strengths, as well as to address weaknesses.
You understand your role within the organization.
You sustain or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
You focus attention on treating the causes of problems rather than simply addressing the symptoms.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You attend [Company] gatherings and social events.
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 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.