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
Maintains persistence and dedication to achieving results.
Able to focus on a task even when working alone.
Takes immediate action toward goals.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Coordinates all department activities into a cohesive team effort.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Acts like an owner when they make decisions.
Accepts accountability for their actions and results.
Can be counted on to do what they say they are going to do.
Creates a consistent process for prioritizing work.
Takes responsibility for results.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Plans and organizes continuously while performing all other responsibilities and activities.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Bounces back from daily crisis, disappointments and frustrations.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Can multi-task while performing all of their other responsibilities and activities.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willingly share their technical expertise
Builds consensus and shares relevant information.
Relates to all kinds of people tactfully
Encourages collaboration with other departments.
Effective team player
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates sincerity in actions with others.
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters a high standard of ethics and integrity.
Follows tasks to completion.
Fosters an environment built upon trust.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Accepts the views of others.
Shares past experiences with others as learning opportunities.
Open to the suggestions of others.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to adapt quickly to changing situations.
Works within constraints of the organization.
Recognizes that small changes may snowball into major events.
Maintains open communication with other departments.
Knows how to obtain desired results with minimal losses.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Supports safety programs and procedures.
Performs work safely.
Commits adequate resources toward safety measures.
Identifies predictable hazards in the workplace.
Points out behaviors in others that may be unsafe.
Customer Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Develops strong customer relationships.
Maintains positive customer relationships.
Considers customers point of view when making decisions.
Does not hesitate to address customer concerns or complaints.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Expresses loyalty and dedication to [Company] in interactions with others.
Follows existing procedures and processes.
Understands the use of [Company] products and services.
Impresses upon others the important aspects of [Company].
Understands how decisions impact other business units beyond their immediate department of work group.

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.