Attitude - 360 Degree Feedback Survey Sample #6

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 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 and . 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

Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Builds open and trusting relationships.
Shows by their actions that they trust in the positive intentions of others.
Contributes to a positive and fun work environment.
Visibly supports and encourages diversity in style and background.
Treats all people fairly and with respect.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for results.
Can be counted on to do what they say they are going to do.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Defines roles, rights, and responsibilities of the team.
Is someone you can trust.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters an environment built upon trust.
Demonstrates honesty and truthfulness at all times.
Demonstrates sincerity in actions with others.
Protects the integrity and confidentiality of information
Does what was promised.
Punctuality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Starts the workday when scheduled.
Avoids making personal phone calls during working hours.
Starts meetings on time.
Invoices clients on a timely basis.
Conducts appointments at scheduled start time.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in implementing new organizational vision and values.
Supports new initiatives for organizational changes to improve effectiveness.
Effective in dealing with ambiguous and challenging situations.
Works cooperatively with others to implement changes.
Addresses organizational and departmental resistance to changes.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works to implement corrective safety measures.
Encourages others to work safely.
Supports our company's safety programs.
Participates in safety training when available.
Points out behaviors in others that may be unsafe.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets a good example.
Works in a way that makes others want to work with her/him.
Is a person you can trust.
Sets a good example
Behavior is ethical and honest.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Deals effectively with employee grievances.
Tries to understand others' point of view before making judgments
Helps employees to think through alternative ways to resolve conflict situations.
Assists team members by helping them see the other point of view.
Identifies and takes steps to prevent potential confrontations.

41. Overall, please rate the effectiveness of .
    

    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 's assessment.