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
Displays high energy and enthusiasm on consistent basis.
Completes work on time
Seeks and utilizes opportunities for continuous learning and self-development.
Conveys a sense of urgency about addressing problems and opportunities
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
Enjoys learning new skills and techniques.
Demonstrates a willingness to participate in continuing education courses.
Is open minded and curious about learning new skills.
Embraces new technology and procedures.
Creates an environment that supports personal development and exploration.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has excellent influencing/negotiating skills.
Ensures stakeholders are involved in the decision making process.
Attempts to persuade others rather than simply control them.
Communicates effectively with others.
Seeks to obtain consensus or compromise.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Challenges current procedures to develop other alternatives.
Encourages open communication to ensure that all proposals are considered.
Develops new products and services.
Finds creative ways to get things done with limited resources.
Solves problems with insight and understanding.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes reasonable risks to achieve desired results.
Helps others to improve or meet standards of performance.
Rapidly completes tasks and assignments.
Improved the quality of work on the production line.
Follows-up and takes action when goals are not met to ensure better results in the future.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
Is planful and organized.
Demonstrates the analytical skills to do their job.
Can be counted on to add value wherever they are involved.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes when others do a good job.
Demonstrates a high degree of ethics and integrity in the workplace.
Follows up on inquiries in a timely manner.
Gives credit where credit is due.
Offers constructive criticism to have a positive impact on performance.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Thoroughly understands the interests and possibilities of both sides.
Able to clearly express thoughts and concerns.
Adapts strategies to better meet the needs of the moment.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Establishes good working relationships with others.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works effectively with people from other departments.
Helpful
Works across boundaries within the organization.
Constructively receives criticism and suggestions from others.
Able to see issues from others' perspectives.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prioritizes tasks based on urgency/need.
Makes plans and follows through.
Works in an organized manner
Prioritizes tasks and allocates resources.
Adjusts and rearranges the schedule to maximize efficiency.

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.