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.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
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.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does not make excuses for being late for work.
Documents performance goals through an individual development plan.
Exhibits a sense of ownership of the process.
Expects employees to account for their actions and performance.
Takes responsibility for their actions and admits mistakes openly.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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.
Spends the most time and effort on critical tasks first.
Assigns tasks based on skills of team members.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works with other team members to achieve objectives.
Contributes to and supports team decision-making process
Helps the team exercise good judgment by making sound and informed decisions.
Builds a strong rapport with team members.
Demonstrates an understanding of other team member's viewpoints.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts responsibility for mistakes.
Maintains strong relationships with others.
Demonstrates honesty and truthfulness at all times.
Follows tasks to completion.
Does what was promised.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks feedback to enhance performance.
Considers other's opinion and suggestions.
Accepts the views of others.
Open to the suggestions of others.
Asks others for their ideas and opinions.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is aware of the financial implications of certain risks.
Performs a risk analysis as needed.
Develops policies to address risk situations in the workplace.
Is concerned about process safety management.
Gathers information regarding potential risks.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps accurate safety records.
Participates in safety training when offered.
Encourages others to work safely.
Creates accurate and effective measures of safety.
Works to implement corrective safety measures.
Customer Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does not hesitate to address customer concerns or complaints.
Makes sure their interests are aligned with the customer's interests.
Delivers high quality products to the customer.
Is aware of the customer's needs.
Engages with customers on multiple levels.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the "basics" as to how [Company] functions/operates.
Attends [Company] gatherings and social events.
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.