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
Consistently puts in effort and shows a dedication to seeing projects through to completion.
Works well with others to achieve common goals and leveraging diverse skills and perspectives.
Engages in continuous learning by actively seeking and incorporating feedback to improve processes and performance.
Reduces interruptions and stay focused on their objectives.
Makes effective decisions, even when under pressure
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Holds self and associates accountable for goal achievement.
Is committed to enhancing their own knowledge and skills.
Is open minded and curious about learning new skills.
Takes advantage of training opportunities when they arise.
Demonstrates a willingness to participate in continuing education courses.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates in a way that encourages employees to think about the issues that currently matter the most.
Creates an environment where employees can explore new ideas and evolve their approach to problem-solving.
Uses clear examples and measurable results to support arguments, making complex issues more tangible.
Does not sacrifice personal values to try to win over others.
Helps employees envision their future success within the team's broader achievements.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a framework to support innovation.
Develops innovative products or services.
Establishes measurable innovation goals and regularly track progress to maintain focus and momentum.
Investigates all types of innovations.
Provides incentives for employees who contribute innovative ideas and successfully implement them.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes use of talents of others to help achieve a high level of performance.
Adheres to established guidelines and best practices to drive consistent, high-quality performance.
Motivated to exceed performance goals.
Empowers individuals through strategic planning and resource allocation to optimize outcomes.
Operates with relentless drive, consistently meeting and surpassing deadlines.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Is planful and organized.
Takes a lot of pride in their work.
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
Anticipates the concerns of other employees.
Is honest about making mistakes and willing to fix them.
Effectively manages conflicts by dealing with them directly and immediately
Recognizes the contributions of others.
Is transparent and honest in communications, intentions, and actions.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to control their emotional responses and correctly gauge the emotions of others.
Fully grasps both party's interests and options.
Identifies tradeable interests that could facilitate reaching a consensus.
Maintains a calm demeanor, even when discussions get heated.
Understands the motivations of the other party.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to see issues from others' perspectives.
Works effectively with people from other departments.
...treats others with respect and dignity.
Able to see issues from others' perspectives.
Supports the efforts of other employees in implementing solutions to problems.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to clearly articulate the plan for the department/district.
Able to identify the needs of the department before a major change.
Works in an organized manner
Efficiently manages deadlines.
Plans for how to allocate time to specific activities.

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.