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 defines work objectives for employees.
Clearly explains responsibilities to individuals.
Checks details thoroughly.
Uses appropriate grammar and tense in communications.
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.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes work on time
Seeks and utilizes opportunities for continuous learning and self-development.
Motivates others to achieve or exceed goals
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.
Is gracious and professional in their interactions with others.
Works to eliminate unnecessary work or barriers that get in others' way.
Contributes to a positive work environment.
Contributes to a positive and fun work environment.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes employees who have courage in persevering against great odds and difficulties.
Holds employees accountable for meeting performance expectations.
Effectively uses the current performance review process.
Records production quotas on a daily basis.
Sets long and short term goals.
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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.
Ability to solve problems at root cause rather than at symptom level.
Generates alternative solutions to problems and challenges.
Identifies and assesses all potential responses to a problem.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes immediate action toward goals.
Maintains persistence and dedication to achieving results.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Committed to the team.
Coordinates all department activities into a cohesive team effort.
Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks information from others as needed.
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
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
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
Reinforces and rewards employees for accomplishing necessary goals.
Readily shares credit and gives others opportunity for visibility.
Says "thank you" to show appreciation for work of others.
Lets employees know when they have done well
Compliments other people when they do good work
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops of the department's annual budget.
Provides budgeting and accounting support to the Company.
Keeps excellent records for financial transparency.
Monitors expenses and verifies the need for items purchased.

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.