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

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Bias for Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Displays high energy and enthusiasm on consistent basis.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Identifies ways to simplify work processes and reduce cycle times
Motivates others to achieve or exceed goals
Seeks and utilizes opportunities for continuous learning and self-development.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates an environment that supports personal development and exploration.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Stays up-to-date on emerging technologies.
Is committed to enhancing their own knowledge and skills.
Embraces new technology and procedures.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops a good rapport with others.
Communicates effectively with others.
Has excellent influencing/negotiating skills.
Attempts to persuade others rather than simply control them.
Ensures stakeholders are involved in the decision making process.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Facilitates acceptance of new ideas.
Focuses on creating new value for our products/services.
Assigns responsibilities to individuals for creating innovative ideas/products.
Allocates time and resources specifically for innovation projects, allowing employees to dedicate efforts to exploring new opportunities.
Creates a safe environment for idea-sharing.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets ambitious standards of performance.
Sets challenging goals.
Sets performance metrics to measure achievement or attainment of goals.
Motivated to exceed performance goals.
Takes calculated risks to achieve significant rewards.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates the analytical skills to do their job.
Can be counted on to add value wherever they are involved.
Is planful and organized.
Demonstrates the functional or technical skills necessary to do their job.
Takes a lot of pride in their work.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
A good listener who is attentive to others.
Values the input from coworkers.
Demonstrates willingness to work with others.
Considers the other individual's point of view.
Responds quickly to inquiries from potential customers.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Committed to working with both sides and openly sharing information.
Maintains good interpersonal relationships with representatives from the other party.
Demonstrates confidence in own position and can influence the other party's perception of proposals being offered.
Persuades the other party of the benefits of our proposals.
Identifies tradeable interests that could facilitate reaching a consensus.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Respects the opinions of other employees.
Able to see issues from others' perspectives.
Forms working relationships with employees from other departments.
Consistently demonstrates ability and willingness to trust others.
Works across boundaries within the organization.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accurately estimates the duration of tasks.
Plans for how to allocate time to specific activities.
Works in an organized manner
Prioritizes tasks and allocates resources.
Closely follows the plan established for the department.

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.