Communication - 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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Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates concepts and ideas to others.
Communicates with department leadership
Engages in clear communication with both senior and junior management.
Communicates goals of project, resources required, resources available, etc. to the team
Delivers influential presentations.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops solutions to challenging problems.
Is creative and inspirational.
Creates a lot of new ideas.
Conceives, implements and evaluates ideas.
Adds value to the department/organization.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes full responsibility for lack of results achieved.
Ensures that employee objectives are aligned with the organization's objectives.
Provides clear reasons for underperformance.
Acts like an owner when they make decisions.
Acknowledges errors and takes the steps necessary to rectify them.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes relationships of trust, honesty, fairness, and integrity.
Accepts responsibility for mistakes.
Protects the integrity and confidentiality of information
Demonstrates sincerity in actions with others.
Follows tasks to completion.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks feedback to enhance performance.
Looks to others for input.
Is visible and approachable.
Shares past experiences with others as learning opportunities.
Is easy to approach with ideas and opinions.
Time Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is always on time for meetings.
Allows for time buffers between tasks so that the schedule does not become delayed due to unforeseen circumstances.
Prioritizes tasks to identify immediate and long-term objectives.
Bundles different tasks together if they can be done at the same time.
Focuses time on the important tasks that add significant value.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Avoids creating ambiguity or mixed messages.
Clearly explains the vision and goals of the company.
Clearly explains responsibilities to individuals.
Clearly defines work objectives for employees.
Writes clear job descriptions for positions in the organization.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates an understanding of the other person's interests, needs and concerns.
Takes care to maintain confidential information.
Is trustworthy; is someone I can trust.
Takes ownership, delivers on commitments
Demonstrates congruence between statements and actions.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes the abilities and skills of self and others
Offers recognition in a timely manner.
Is sincerely interested in the suggestions of co-workers
Recognizes individuals for a specific outstanding achievement.
Recognizes team members who offer a significant contribution to a project.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Devotes a certain amount of time and effort to developing new business opportunities.
Takes the initiative to complete tasks.
Seeks and utilizes mentors to help guide professional development.
Encourages dynamic growth opportunities.
Balances risks and rewards when making decisions.

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.