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 implement data validation techniques and methods.
You ask the "right" questions to size up or evaluate situations.
You prioritize various actions to be taken when solving a problem.
You identify problems and issues needing resolution.
You analyze issues and reduces them to your component parts.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You maintain self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
You recognize and respond to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
You can multi-task while performing all of your other responsibilities and activities.
You assess current capabilities before committing to new requests from customers.
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 are aware of problems or issues that may affect the organization.
You accept accountability for your actions and results.
You define roles, rights, and responsibilities of employees.
You take ownership of mistakes and learn from them.
You are someone who is trustworthy.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You do what was promised.
You foster an environment built upon trust.
You follow tasks to completion.
You accept responsibility for mistakes.
You protect the integrity and confidentiality of information
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You share past experiences with others as learning opportunities.
You ask others for their ideas and opinions.
You are visible and approachable.
You look to others for input.
You are open to the suggestions of others.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You reward innovative experiments to try new ideas.
You seek to retain the best and brightest employees.
You know how to obtain desired results with minimal losses.
You seek to maintain the long-term viability of the Company.
You work within constraints of the organization.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You encourage others to attend safety training.
You develop safety guidelines for the department.
You mitigate hazards and safety issues that arise.
You identify predictable hazards in the workplace.
You ensure compliance with safety regulations.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You anticipate the concerns of other employees.
You express appreciation of other's work.
You are able to work with individuals at all levels of the company.
You use knowledge and charisma rather than position, power, or coercion to influence others
You demonstrate willingness to work with others.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You encourage others to obtain necessary skills and training.
You set clear goals for others to accomplish.
You encourage employees to solve problems on your own.
You avoid micromanaging your employees.
You distribute the workload to subordinates.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You communicate goals and objectives to employees.
You look for opportunities to enhance contributions to the bottom line.
You create plans to develop and promote organizational and area strengths, as well as to address weaknesses.
You are able to decline a poor strategy by proposing alternate strategies.
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 understand how decisions impact other business units beyond your immediate department of work group.
You understand the "basics" as to how [Company] functions/operates.
You express loyalty and dedication to [Company] in interactions with others.
You follow existing procedures and processes.
You attend [Company] gatherings and social events.

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.