Clarity - 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

Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Clearly explains responsibilities to individuals.
Communicates ideas and facts clearly and effectively in writing.
Provides a clear vision for the future.
Is clear about goals that need to be achieved.
Clearly defines work objectives for employees.
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
Completes a large volume of work.
Displays high energy and enthusiasm on consistent basis.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Shows by their actions that they trust in the positive intentions of others.
Contributes to a positive and fun work environment.
Visibly supports and encourages diversity in style and background.
Works to eliminate unnecessary work or barriers that get in others' way.
Is gracious and professional in their interactions with others.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Examines the most effective ways for accomplishing goals.
Ensures that team goals are met 85 percent of the time.
Creates clear standards that are understandable and fair.
Obtains commitment from employees regarding completion of tasks.
Ensures employees understand how work is to be completed.
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to balance the needs of different people in a solution to a problem.
Finds creative ways to get things done with limited resources.
Identifies and assesses all potential responses to a problem.
Solves problems using logic and insight.
Implements effective solutions to critical problems.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains persistence and dedication to achieving results.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Encourages commitment in others to obtain results.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Takes immediate action toward goals.
Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates mastery of the technical competencies required in his/her work.
Seeks information from others as needed.
Willingly shares his/her technical expertise; sought out as resource by others
Knows how to produce high quality products/work.
Is knowledgeable of procedures or systems necessary for the job.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes team members who offer a significant contribution to a project.
Compliments other people when they do good work
Says "thank you" to show appreciation for work of others.
Lets employees know when they have done well
Offers recognition in a timely manner.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops budgets and plans for various programs and initiatives.
Effective in using Company's resources.
Monitors spending.
Ensures others follow the correct rules and regulations on fiscal matters.
Develops of the department's annual budget.

46. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
47. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
48. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
49. Additional comments, if any for [Participant Name Here]'s assessment.