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
Communicates ideas and facts clearly and effectively in writing.
Attends to the important details of a job or task.
Clarifies problems and their causes to help employees correct them.
Avoids stating unclear or conflicting goals.
Avoids creating ambiguity or mixed messages.
Bias for Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Displays high energy and enthusiasm on consistent basis.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
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.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works to eliminate unnecessary work or barriers that get in others' way.
Is gracious and professional in their interactions with others.
Shows by their actions that they trust in the positive intentions of others.
Contributes to a positive and fun work environment.
Contributes to a positive work environment.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Examines the most effective ways for accomplishing goals.
Sets specific and measurable goals for others and follows through to completion.
Sets and maintains high standards for self and others.
Makes sure commitments are understood and met.
Addresses grievances sooner rather than later.
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ability to solve problems at root cause rather than at symptom level.
Works cooperatively with others to solve problems.
Identifies and assesses all potential responses to a problem.
Able to balance the needs of different people in a solution to a problem.
Is a good problem solver and decision maker
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes immediate action toward goals.
Coordinates all department activities into a cohesive team effort.
Able to focus on a task even when working alone.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Maintains persistence and dedication to achieving results.
Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates mastery of the technical competencies required in his/her work.
Knows how to produce high quality products/work.
Seeks information from others as needed.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Readily shares credit and gives others opportunity for visibility.
Recognizes team members who offer a significant contribution to a project.
Compliments other people when they do good work
Finds opportunities to recognize others.
Offers recognition in a timely manner.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Monitors spending.
Monitors expenses and verifies the need for items purchased.
Effective in using Company's resources.
Develops of the department's annual budget.
Ensures others follow the correct rules and regulations on fiscal matters.

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.