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 select the appropriate techniques for analysis.
You identifiy opportunities for progress and innovation.
You analyze issues and reduce them to their component parts.
You ask the "right" questions to size up or evaluate situations.
You implement data validation techniques and methods.
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 ensure that assignments are prioritized according to the needs of the department/company.
You avoid bottlenecks in progress by assigning multiple individuals to critical tasks.
You coordinate the work of a team by assigning tasks to other team members.
You begin tasks as soon as possible.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I set clear expectations for performance.
You take ownership of problems to find the best solutions.
You encourage employees to take on greater responsibilities.
I ensure that employee objectives are aligned with the organization's objectives.
I uphold ethical standards even when no one is watching.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You establish relationships of trust, honesty, fairness, and integrity.
You protect the integrity and confidentiality of information
You demonstrate sincerity in actions with others.
You do what was promised.
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 are easy to approach with ideas and opinions.
You accept the views of others.
You are visible and approachable.
You are open to the suggestions of others.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You offer training to reduce safety incidents in the workplace.
You implement changes to reduce the chances of critical incidents in the future.
You perform regular risk analyses to minimize adverse outcomes.
You create a risk management strategy for the organization.
You track risks in a project.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are aware of osha safety guidelines.
You encourage others to attend safety training.
You identify and addresses safety needs.
You create accurate and effective measures of safety.
You commit adequate resources toward safety measures.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I keep commitments made with coworkers.
I offer praise to colleagues who have successfully completed major projects.
You come across as credible, knowledgeable and sincere
I demonstrate a high degree of ethics and integrity in the workplace.
You are easily approachable.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You recognize the accomplishments of employees when they complete important assignments.
I create a culture where employees are given the opportunity to take the initiative and make impactful decisions.
I support the decisions of others even if those decisions may sometimes lead to mistakes.
I encourage employees to expand their skills in order to take on greater responsibilities.
I acknowledge and appreciate employees for their proactive decision-making.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I am effective in using strategic tools such as value chain analysis, business environment analysis, and competitor analysis.
I develops strategies to effectively use company resources and exploit potential opportunities.
I determine the best approach to achieving desired goals.
You monitor performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
You create a SWOT matrix to help analyze data.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You understand the use of [Company] products and services.
You attend [Company] gatherings and social events.
You understand how decisions impact other business units beyond your immediate department of work group.
You follow existing procedures and processes.
You express loyalty and dedication to [Company] in interactions with others.

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.