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
Celebrates progress and perseverance, reinforcing that every contribution strengthens the bottom line.
Redirects attention back to core commitments when conversations or tasks drift off course.
Builds employee commitment through providing employees with growth opportunities.
Encourages alignment of personal aspirations with organizational priorities, reinforcing shared commitment.
Demonstrates personal accountability and dedication to organizational success.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Holds employees accountable for meeting performance benchmarks.
Ensures that employee objectives are aligned with the organization's objectives.
Holds employees accountable for completing the project successfully.
Regularly leads the way when helping the team troubleshoot various issues.
Consistently follows through on commitments and promises.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ranks the importance of tasks to make sure critical tasks are completed first.
Pushes through competing demands and ambiguity to ensure critical tasks are completed on time.
Takes on multiple roles within the department.
Provides regular updates and keeps everyone informed about progress on multiple assignments.
Removes unnecessary time-wasting activities.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Shows respect for other team members.
Works with other team members to identify bottle necks in the production process.
Fosters an environment that promotes active listening on the team.
Shares resources and information with the team.
Shares credit for accomplishments with team members
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibilities seriously and is dedicated to maintaining a high reputation and also the reputation of the department and organization.
Demonstrates consistency in actions and values based on core principles and beliefs.
Makes decisions that are based on core principles and not on individual circumstances.
Delivers on promises and meets obligations.
Is consistent in ethical behavior, demonstrating professionalism and a commitment to the company's values.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assists employees in converting their feedback results into actionable items.
Guides employees in translating their feedback into action plans.
Breaks down the feedback into manageable components, to help employees better understand the actions needed to improve.
Engages with team members, senior leaders, and external stakeholders to gather a variety of perspectives and insights that inform strategy and decision-making.
Demonstrates a commitment to personal and professional growth through open acceptance of feedback results.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Conducts regular audit of the risk management framework.
Implements strategic risk management in an objective and tactical way.
Takes steps to contain the costs of responding to such events.
Monitors the effectiveness of risk management strategies.
Identifies what actions the organization is willing to take.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Committed to safety in the workplace.
Points out behaviors in others that may be unsafe.
Develops a culture of safety.
Is aware of OSHA safety guidelines.
Ensures that all supervisors are aware of regulatory and compliance measures.
Customer Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adapts to changing customer needs.
Is aware of the customer's needs.
Follows up with any unanswered questions from the customer.
Models excellent customer service for others in the department.
Adapts to changes proposed by the customer.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates reasonable and timely policies regarding social media.
Drives innovation and excellence to keep the company's offerings competitive and compelling.
Leads efforts to ensure offerings are not only competitive but also meaningful and differentiated.
Encourages employees to take ownership of their work and feel proud of their contributions.
Builds trust by being transparent, consistent, and approachable in communication.

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.