Attitude - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve 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 and discussed with the employee to foster growth and on-going development.

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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Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Enjoys working in the department
Credits the team for any shared success.
Volunteers for tasks or initiatives that stretch their skills, showing eagerness to contribute and grow.
Greets ambiguity with curiosity and purpose, rather than hesitation or avoidance.
Speaks with civility and kindness, even under pressure or during disagreement.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Commits to leading the initiatives to solving critical issues.
Accepts personal responsibility for producing high quality and timely work.
Takes full responsibility for team's lack of progress.
Understands the importance of holding employees accountable for their work.
Regularly completes tasks on time.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a foundation of trust and respect that drives long-term success and positive relationships.
Maintains high standard of excellence when dealing with ethical, legal, or regulatory issues.
Actively encourages and recognizes the achievements and efforts of colleagues fostering a supportive and positive work environment.
Promotes a corporate culture of high-integrity.
Understands the business need for self-regulation and integrity in reporting.
Punctuality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Arrives to meetings on time.
Maintains an efficient schedule of activities.
Starts the workday when scheduled.
Invoices clients on a timely basis.
Avoids making personal phone calls during working hours.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively manages change in a dynamic business environment.
Ensures that employees and teams comply with the recent changes.
Effective in implementing new organizational vision and values.
Is proactive in planning for multiple possible future conditions be be prepared for all possible scenarios.
Effective in dealing with ambiguous and challenging situations.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies and addresses safety needs.
Is not afraid to question a potential safety issue observed in the workplace.
Participates in safety training when available.
Mitigates hazards and safety issues that arise.
Committed to safety in the workplace.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responsible for setting the vision of the department.
Completes assigned work tasks.
Holds herself / himself accountable to goals / objectives
Is a person you can trust.
Sets high personal standards of performance.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is supportive of consensus and power sharing.
Deals effectively with employee grievances.
Establishes roles and responsibilities.
Uses conflicts to challenge outdated norms or assumptions, prompting fresh thinking and cultural evolution.
Facilitates both parties in collaboratively seeking a compromise.

41. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
42. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
43. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
44. Additional comments, if any for [Participant Name Here]'s assessment.