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

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Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains clarity in goals and objectives.
Attends to the important details of a job or task.
Checks details thoroughly.
Communicates ideas and facts clearly and effectively in writing.
Clearly explains responsibilities to individuals.
Bias for Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Motivates others to achieve or exceed goals
Completes a large volume of work.
Seeks and utilizes opportunities for continuous learning and self-development.
Displays high energy and enthusiasm on consistent basis.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Visibly supports and encourages diversity in style and background.
Builds open and trusting relationships.
Treats all people fairly and with respect.
Contributes to a positive and fun work environment.
Is gracious and professional in their interactions with others.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Links qualitative objectives to quantitative key results.
Regularly conducts performance reviews of all employees.
Assigns additional responsibilities to facilitate internal employee promotions.
Effectively uses the current performance review process.
Establishes standards for expected performance.
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gets buy-in from constituents before implementing solutions.
Able to solve problems that involve political biases, conflicting evidence, and/or lack of data.
Demonstrates unwavering persistence even when facing setbacks.
Solves problems that require several different criteria or constraints.
Identifies and assesses all potential responses to a problem.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willing to do whatever it takes-not afraid to have to put in extra effort.
Takes immediate action toward goals.
Coordinates all department activities into a cohesive team effort.
Maintains persistence and dedication to achieving results.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates mastery of the technical competencies required in his/her work.
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.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Willingly shares his/her technical expertise; sought out as resource by others
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes individuals for a specific outstanding achievement.
Is sincerely interested in the suggestions of co-workers
Compliments other people when they do good work
Recognizes team members who offer a significant contribution to a project.
Finds opportunities to recognize others.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Provides budgeting and accounting support to the Company.
Develops budgets and plans for various programs and initiatives.
Keeps excellent records for financial transparency.
Effective in using Company's resources.

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.