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
Shares skills and time to help the team thrive.
Creates an environment that encourages information sharing.
Develops networks and builds alliances with employees throughout the company.
Utilizes digital tools to enhance collaborative efforts in creating process and policy documents.
Respects other group/team members.
Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Uses patience and self-control in working with customers and associates.
Steps away from a situation to process appropriate response.
Analyzes interpersonal problems instead of reacting to them.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Balances risks and costs with the rewards and probabilities of success when decisions.
Analyzes data and information from several sources and arrives at logical conclusions.
Implements data validation techniques and methods.
Asks the "right" questions to size up or evaluate situations.
Identifies problems and issues needing resolution.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains clarity in goals and objectives.
Avoids creating ambiguity or mixed messages.
Makes sure employees understand why they were given certain assignments.
Clearly explains the vision and goals of the company.
Adjusts communication methods to the needs of the audience.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks to maintain positive relationships with coworkers.
Combines different ideas and viewpoints.
Strives to ensure that all basic needs are met, resulting in mutual benefits for both parties.
Assists team members by helping them see the other point of view.
Able to persuade and influence 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.