Bias for Action - 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

Bias for Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes work on time
Seeks and utilizes opportunities for continuous learning and self-development.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Displays high energy and enthusiasm on consistent basis.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Holds self and associates accountable for goal achievement.
Embraces new technology and procedures.
Enhances value to the company through additional training and development.
Takes advantage of training opportunities when they arise.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures stakeholders are involved in the decision making process.
Persuades others to consider alternative points of view.
Has excellent influencing/negotiating skills.
Attempts to persuade others rather than simply control them.
Communicates effectively with others.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Builds upon the ideas and solutions of others.
Develops new products and services.
Suggests new ideas at meetings.
Encourages open communication to ensure that all proposals are considered.
Analyzes current procedures and identifies opportunities for improvement.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Strives to exceed standards of performance.
Increased production by 20 percent.
Holds others to high standards of achievement.
Takes calculated risks to achieve higher levels of performance.
Completes work promptly and efficiently.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is planful and organized.
Produces high quality work.
Keeps themselves and others focused on constant improvement.
Can be counted on to add value wherever they are involved.
Demonstrates the functional or technical skills necessary to do their job.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gives constructive feedback on performance reviews.
Is trusted by peers and co-workers; others are willing to confide in him/her
Builds strong relationships with team members.
Creates an atmosphere that supports the open expression of ideas
Communicates initiatives in a clear and actionable manner to employees.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains good interpersonal relationships with representatives from the other party.
Fully grasps both party's interests and options.
Collects information from various stakeholders, each with their own viewpoints, data, and interests.
Maintains a calm demeanor, even when discussions get heated.
Manages emotions to reduce the impact of negativity.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works effectively with people from other departments.
Able to see issues from others' perspectives.
Respects the opinions of other employees.
Helpful
Consistently demonstrates ability and willingness to trust others.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates to-do lists to make sure nothing is missed.
Determines the appropriate actions needed to achieve goals.
Sets up and monitors timeframes and plans
Develops good plans used for logistics.
Creates effective project plans.

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

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

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