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
Maintains clarity in goals and objectives.
Adjusts communication methods to the needs of the audience.
Avoids creating ambiguity or mixed messages.
Provides a clear vision for the future.
Communicates with clarity and efficiency.
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.
Identifies ways to simplify work processes and reduce cycle times
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes work on time
Completes a large volume of work.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Contributes to a positive work environment.
Visibly supports and encourages diversity in style and background.
Works to eliminate unnecessary work or barriers that get in others' way.
Contributes to a positive and fun work environment.
Treats all people fairly and with respect.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Clearly articulates the performance requirements for the position.
Continuously measures performance and provides feedback to employees regularly.
Regularly conducts performance reviews of all employees.
Communicates the roles and responsibilities to the employee.
Is consistent in clearly communicating job requirements.
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a good problem solver and decision maker
Works cooperatively with others to solve problems.
Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Makes judgments based upon relevant information.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes immediate action toward goals.
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.
Coordinates all department activities into a cohesive team effort.
Maintains persistence and dedication to achieving results.
Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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
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.
Willingly shares information and expertise; sought out as resource by others
Demonstrates mastery of the technical competencies required in his/her work.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Finds opportunities to recognize others.
Recognizes individuals for a specific outstanding achievement.
Makes people around them feel appreciated and valued.
Is sincerely interested in the suggestions of co-workers
Says "thank you" to show appreciation for work of others.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors spending.
Provides budgeting and accounting support to the Company.
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.