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
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes a large volume of work.
Encourages risk taking and experimentation to improve performance
Motivates others to achieve or exceed goals
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is open to feedback from others.
Takes initiative for own learning and development.
Creates an environment that supports personal development and exploration.
Inspires others to learn new things.
Enjoys learning new skills and techniques.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has excellent influencing/negotiating skills.
Seeks to obtain consensus or compromise.
Develops a good rapport with others.
Persuades others to consider alternative points of view.
Communicates effectively with others.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages open communication to ensure that all proposals are considered.
Finds creative ways to get things done with limited resources.
Creates improved methods or solutions for meeting goals and objectives.
Implements best practices within the department.
Analyzes current procedures and identifies opportunities for improvement.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Inspires others to work with a sense of urgency.
Takes calculated risks to achieve difficult goals.
Increased production by 20 percent.
Makes use of talents of others to help achieve a high level of performance.
Completed training on the new equipment.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps themselves and others focused on constant improvement.
Demonstrates the analytical skills to do their job.
Produces high quality work.
Takes a lot of pride in their work.
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
Communicates initiatives in a clear and actionable manner to employees.
Able to work with individuals at all levels of the Company.
Demonstrates compassion and understanding of others.
Strives for win/win solutions
Uses tact, compassion, and sensitivity in interactions with others.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains good interpersonal relationships with representatives from the other party.
Able to adapt to changing situations.
Establishes clear communications to avoid misunderstandings.
Able to influence others to accept certain positions.
Is able to decline bad ideas to avoid making poor decisions.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to see issues from others' perspectives.
Consistently demonstrates ability and willingness to trust others.
Respects the opinions of other employees.
Supports the efforts of other employees in implementing solutions to problems.
Helpful
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Determines what supplies/equipment will be needed for the project.
Allows input from others for the 5-year plan.
Develops strategic plans for the company/organization.
Creates a timeline to specify when each phase of the project should be concluded.
Reorders the schedule of events to maximize attendance/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.