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
Frequently communicates with the team.
Able to deliver presentations.
Provides follow-up information and seeks to avoid misunderstandings.
Ready to offer feedback, even if it involves tough critiques.
Conducts regular performance feedback discussions with individuals and teams
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to innovate valuable ideas to solve problems.
Allows employees to experiment with procedures/equipment to find creative solutions.
Creates space for developing ideas and refining them through iteration.
Allocates resources to support the implementation of new solutions.
Invites diverse viewpoints to challenge conventional thinking.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to take on greater responsibilities.
Regularly completes tasks on time.
Takes full responsibility for results.
Willing to answer for their own actions and performance.
Takes ownership of problems to find the best solutions.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters trust within the company and with external partners by owning up to mistakes.
Does the right thing even when negative consequence may result.
Leads by example and inspires others to uphold high ethical standards in business.
Shows a profound commitment to personal integrity and performance.
Makes decisions that are based on core principles and not on individual circumstances.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Avoids becoming defensive or taking feedback personally, understanding that the purpose of feedback is to improve performance or behavior.
Considers feedback as a positive and enriching process.
Regularly solicits feedback from others.
Nurtures an environment that supports lifelong learning and progress.
Cultivates a setting that promotes open dialogue, mutual regard, and ongoing development to ensure effective feedback between managers and their employees.
Time Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assigns tasks based on individual strengths and availability to maximize efficiency and engagement
Avoids delays by working quickly.
Rarely misses deadlines; often producing results before expected.
Stays undistracted by slower coworkers.
Tackles the biggest problems at the start of the day.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides a clear vision for the future.
Clarifies problems and their causes to help employees correct them.
Seeks to reduce ambiguity in messaging and documents.
Avoids creating ambiguity or mixed messages.
Communicates ideas and facts clearly and effectively in writing.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes care to maintain confidential information.
Is a person you can trust.
Consistently keeps commitments.
Takes ownership, delivers on commitments
Demonstrates congruence between statements and actions.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses a formal rewards and recognition structure to provide fairness and a standardized process.
Gives genuine and sincere recognition.
Offers sincere praise for the efforts of the team.
Views recognition of employees as an important part of being a manager.
Recognizes employees immediately when they go above and beyond the expected level of performance.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to adapt the department to changing business demands and climate.
Balances risks and rewards when making decisions.
Is comfortable operating in an environment of uncertainty.
Finds unique ways to go around barriers to success.
Understands the processes and various stages of business development.

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.