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)
Communicates effectively with colleagues and customers
Communications with department leadership
Asks follow-up questions as needed.
Communicates effectively with all levels of the organization.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a lot of new ideas.
Is creative.
Inspires creativity in their team.
Is creative and inspirational.
Conceives, implements and evaluates ideas.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes ownership of mistakes and learns from them.
Keeps supervisor informed of recent events.
Holds team accountable to meeting goals.
Defines roles, rights, and responsibilities of the team.
Develops goals and establishes objective measures of success.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes relationships of trust, honesty, fairness, and integrity.
Does what was promised.
Maintains strong relationships with others.
Demonstrates sincerity in actions with others.
Develops trust and confidence from others.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is visible and approachable.
Looks to others for input.
Seeks feedback to enhance performance.
Open to the suggestions of others.
Accepts the views of others.
Time Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Focuses on tasks that have high priority.
Prioritizes tasks to identify immediate and long-term objectives.
Sets clearly defined goals.
Completes tasks ahead of schedule.
Makes time for developing plans and schedules.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Avoids creating ambiguity or mixed messages.
Attends to the important details of a job or task.
Maintains clarity in goals and objectives.
Avoids stating unclear or conflicting goals.
Checks details thoroughly.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Builds and maintains the trust of others.
Is a person you can trust.
Demonstrates a sense of responsibility and commitment to public trust.
Communicates an understanding of the other person's interests, needs and concerns.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes the abilities and skills of self and others
Makes people around them feel appreciated and valued.
Reinforces and rewards employees for accomplishing necessary goals.
Lets employees know when they have done well
Is sincerely interested in the suggestions of co-workers
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Excellent at managing relationships with stakeholders.
Encourages dynamic growth opportunities.
Exhibits determination and passion in completion of goals.
Has a strategic awareness on how to promote the organization.
Devotes a certain amount of time and effort to developing new business opportunities.

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.