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
Identifies ways to simplify work processes and reduce cycle times
Motivates others to achieve or exceed goals
Displays high energy and enthusiasm on consistent basis.
Encourages risk taking and experimentation to improve performance
Completes a large volume of work.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Exhibits willingness to upgrade skills through additional training and education.
Is open to feedback from others.
Is committed to enhancing their own knowledge and skills.
Takes advantage of training opportunities when they arise.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks to obtain consensus or compromise.
Attempts to persuade others rather than simply control them.
Ensures stakeholders are involved in the decision making process.
Understanding what others need.
Persuades others to consider alternative points of view.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Builds upon the ideas and solutions of others.
Finds creative ways to get things done with limited resources.
Suggests new ideas at meetings.
Challenges current procedures to develop other alternatives.
Fosters a creative and innovative work environment.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
Takes calculated risks to achieve higher levels of performance.
Takes calculated risks.
Systematically works to improve the organization
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes a lot of pride in their work.
Produces high quality work.
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Applies appropriate communication techniques to the situation.
Demonstrates willingness to work with others.
Strives for win/win solutions
Provides constructive feedback in a way that fosters acceptance and development.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the expectations of other parties in the negotiation.
Changes communication styles to meet the listener's needs.
Actively listens to conversations to be able to recall important details later.
Is flexible in responses.
Establishes clear communications to avoid misunderstandings.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works across boundaries within the organization.
Supports the efforts of other employees in implementing solutions to problems.
Helpful
Treats others with respect and dignity.
Forms working relationships with employees from other departments.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Anticipates challenges and has plans to overcome them.
Understands what materials will be required to successfully implement the plan.
Anticipates obstacles and ways to overcome them.
Develops effective plans to deal with unforeseen circumstances.
Develops plans used to accomplish urgent or critical tasks.

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.