Commitment to Result - 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

Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Maintains persistence and dedication to achieving results.
Coordinates all department activities into a cohesive team effort.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Committed to the team.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for their actions and admits mistakes openly.
Sets clear expectations for performance.
Willing to answer for their own actions and performance.
Does not make excuses for being late for work.
Acts like an owner when they make decisions.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prioritizes tasks for efficiency.
Plans and organizes continuously while performing all other responsibilities and activities.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Can multitask while performing all of their other responsibilities and activities.
Builds in extra time in the schedule for unplanned events/occurrences.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages dialog between team members.
Actively participates as a team member
Helps the team to bounce back from obstacles.
Emphasizes the importance of getting individuals to work as a team
Supports open communication between team members.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops trust and confidence from others.
Establishes relationships of trust, honesty, fairness, and integrity.
Follows tasks to completion.
Demonstrates sincerity in actions with others.
Does what was promised.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is easy to approach with ideas and opinions.
Looks to others for input.
Open to the suggestions of others.
Accepts the views of others.
Is visible and approachable.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies what actions the organization is willing to take.
Bases decisions on patterns found in fluid/changing information.
Develops policies to address risk situations in the workplace.
Understands how to meet regulatory compliance.
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
Develops a culture of safety.
Participates in safety training as applicable.
Develops a strong safety culture.
Participates in safety training when offered.
Develops safety guidelines for the department.
Customer Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Actively listens to concerns from customers.
Obtains feedback to ensure customer needs are being met.
Views customer satisfaction as an everyday priority.
...friendliness and courtesy
Keeps the customer informed of all progress.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the use of [Company] products and services.
Follows existing procedures and processes.
Understands how decisions impact other business units beyond their immediate department of work group.
Attends [Company] gatherings and social events.
Expresses loyalty and dedication to [Company] in interactions with others.

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.