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

Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Able to demonstrate persuasiveness in pursuit of objectives.
Listens to others' points of view with an open mind
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Communicates with department leadership
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Inspires creativity in their team.
Is creative.
Creates a lot of new ideas.
Is creative and inspirational.
Develops solutions to challenging problems.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is someone you can trust.
Can be counted on to do what they say they are going to do.
Creates a consistent process for prioritizing work.
Acts like an owner when they make decisions.
Takes ownership of mistakes and learns from them.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters an environment built upon trust.
Protects the integrity and confidentiality of information
Follows tasks to completion.
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters a high standard of ethics and integrity.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Considers other's opinion and suggestions.
Actively seeks feedback from others.
Open to the suggestions of others.
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Time Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Avoids distractions in the workplace.
Completes high-priority work within required timelines.
Sets a good balance between work and family life.
Uses agendas when chairing or facilitating meetings.
Prioritizes tasks to identify immediate and long-term objectives.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure employees understand why they were given certain assignments.
Seeks to reduce ambiguity in messaging and documents.
Communicates with clarity and efficiency.
Adjusts communication methods to the needs of the audience.
Clarifies problems and their causes to help employees correct them.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Builds and maintains the trust of others.
Is trustworthy; is someone I can trust.
Consistently keeps commitments.
Takes ownership, delivers on commitments
Works in a way that makes others want to work with her/him.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Readily shares credit and gives others opportunity for visibility.
Is sincerely interested in the suggestions of co-workers
Compliments other people when they do good work
Lets employees know when they have done well
Finds opportunities to recognize others.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages dynamic growth opportunities.
Has a strategic awareness on how to promote the organization.
Can work effectively in an environment of uncertainty.
Seeks and utilizes mentors to help guide professional development.
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.