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
Creates an environment that encourages information sharing.
Defines shared goals with the committee members.
Creates a culture that fosters and values collaboration.
Identifies and organizes partnerships and alliances.
Works with others to resolve issues facing the company.
Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does not allow own emotions to interfere with the performance of others.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Consciously controls own negative emotions in order to keep team morale up.
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.
Implements data validation techniques and methods.
Selects the appropriate techniques for analysis.
Analyzes issues and reduces them to their component parts.
Uses appropriate techniques to solve problems.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Maintains clarity in goals and objectives.
Checks details thoroughly.
Avoids stating unclear or conflicting goals.
Avoids creating ambiguity or mixed messages.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Tries to understand others' point of view before making judgments
Discusses conflict situations with supervisor.
Assists team members by helping them see the other point of view.
Helps employees to think through alternative ways to resolve conflict situations.
Deals effectively with employee grievances.

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.