Collaboration- 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

Collaboration	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes decisions with other members of the group.
Is comfortable working with employees from different departments/divisions.
Creates an environment that encourages information sharing.
Encourages collaboration of fellow employees to achieve results.
Displays a high degree of trust and credibility.
Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses patience and self-control in working with customers and associates.
Analyzes interpersonal problems instead of reacting to them.
Steps away from a situation to process appropriate response.
Does not allow own emotions to interfere with the performance of others.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyzes data and information from several sources and arrives at logical conclusions.
Uses appropriate techniques to solve problems.
Asks the "right" questions to size up or evaluate situations.
Selects the appropriate techniques for analysis.
Prioritizes various actions to be taken when solving a problem.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Avoids stating unclear or conflicting goals.
Attends to the important details of a job or task.
Clarifies problems and their causes to help employees correct them.
Checks details thoroughly.
Communicates ideas and facts clearly and effectively in writing.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assists team members by helping them see the other point of view.
Tries to understand others' point of view before making judgments
Identifies and takes steps to prevent potential confrontations.
Helps employees to think through alternative ways to resolve conflict situations.
Clearly expresses expectations to others.

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

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

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