Commitment - 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

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Commitment	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Secures commitment from team members.
Fosters a culture where employees confidently take initiative, committing to goals without waiting for direction.
Holds self and others accountable, modeling uncompromising commitment through personal example.
Improves customer satisfaction through building staff capabilities and strengthening their commitment to excellence.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works diligently for the success of the team.
Fully embraces the responsibilities that contribute to our departmental success.
Can be counted on to do what they say they are going to do.
Accepts personal responsibility for producing high quality and timely work.
Demonstrates a commitment to taking responsibility for actions.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Determines which tasks are critical and which tasks are optional.
Re-engages with difficult or stalled projects after setbacks, bringing renewed energy and focus.
Ensures that assignments are prioritized according to the needs of the department/company.
Uses delegation as a coaching opportunity, providing feedback and guidance throughout the process.
Reallocates attention quickly when new information or incidents arise, without compromising quality.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Relates to all kinds of people tactfully
Shares pertinent information with all members of the team.
Facilitates effective teamwork during periods of change.
Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
Makes sure each team member participates in the task.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willing to issue product recalls if necessary.
Can be trusted to do the right thing.
Takes responsibility for commitments ensuring that they are met.
Allocates responsibilities based on the employees skills and experience.
Is committed to self-regulation.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops a culture that supports open conversations, mutual respect, and continuous enhancement to facilitate constructive feedback between managers and their employees.
Identifies specific steps to improve based on feedback and tracks progress over time.
Begins feedback with what the recipient is doing well to set a positive tone and helps them feel valued.
Links feedback directly to specific role expectations, KPIs, or project outcomes.
Provides clear and specific feedback based on observable behaviors.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures employees are aware of potential impacts by increasing risk visibility.
Tracks risks in a project.
Is responsible for regulatory, strategic, operational and project risk management.
Create continuity plans.
Minimizes the increase in costs due to global events or supply chain issues.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Performs work safely.
Supports our company's safety programs.
Develops safety guidelines for the department.
Participates in safety training as applicable.
Identifies and addresses safety needs.
Customer Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prioritizes customer issues based on urgency.
Builds products that meet the unique needs of each customer.
Meets with customers on a regular basis.
Consistently meets customer's needs.
Addresses customer complaints immediately.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Implements an EEO policy ensures that all employees are treated fairly and without discrimination.
Fosters an organizational culture that focuses on collaboration, respect, and continuous learning.
Tracks and communicates the company's community contributions to reinforce accountability and pride.
Takes on new projects without compromising existing work.
Focuses on delivering products and services that resonate with customers and outperform alternatives.

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

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

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