Commitment to Result - 360 Degree Feedback Survey Sample #6

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 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 and . 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.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Coordinates all department activities into a cohesive team effort.
Able to focus on a task even when working alone.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes ownership of mistakes and learns from them.
Defines roles, rights, and responsibilities of the team.
Takes responsibility for results.
Is someone you can trust.
Is aware of problems or issues that may affect the organization.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Assesses current capabilities before committing to new requests from customers.
Can multi-task while performing all of their other responsibilities and activities.
Plans and organizes continuously while performing all other responsibilities and activities.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Coaches team members
Willingly share their technical expertise
Recognizes and respects the contributions and needs of each individual.
Effective team player
Builds consensus and shares relevant information.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates sincerity in actions with others.
Fosters a high standard of ethics and integrity.
Accepts responsibility for mistakes.
Fosters an environment built upon trust.
Demonstrates honesty and truthfulness at all times.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Shares past experiences with others as learning opportunities.
Open to the suggestions of others.
Considers other's opinion and suggestions.
Actively seeks feedback from others.
Accepts the views of others.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responds appropriately to unexplained or unanticipated events.
Bases decisions on patterns found in fluid/changing information.
Seeks to maintain the long-term viability of the Company.
Recognizes that small changes may snowball into major events.
Works within constraints of the organization.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Points out behaviors in others that may be unsafe.
Develops a sustainable safety culture.
Develops a strong safety culture.
Mitigates hazards and safety issues that arise.
Creates accurate and effective measures of safety.
Customer Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Considers customers point of view when making decisions.
Develops good rapport and trust with the customer.
...friendliness and courtesy
Consistently models positive customer service attitudes.
Does not hesitate to address customer concerns or complaints.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the "basics" as to how [Company] functions/operates.
Understands how decisions impact other business units beyond their immediate department of work group.
Follows existing procedures and processes.
Impresses upon others the important aspects of [Company].
Expresses loyalty and dedication to [Company] in interactions with others.

51. Overall, please rate the effectiveness of .
    

    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 's assessment.