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
Delivers effective public presentations.
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Listens effectively and responds to new information.
Ensures comprehension during conversations or group presentations.
An effective listener who is responsive to information needs.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is creative and inspirational.
Is creative.
Develops solutions to challenging problems.
Inspires creativity in their team.
Adds value to the department/organization.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts accountability for their actions and results.
Willingly accepts the consequences for their actions.
Is prepared and on time for meetings and scheduled events.
Regularly completes tasks on time.
Ensures that employee objectives are aligned with the organization's objectives.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates honesty and truthfulness at all times.
Accepts responsibility for mistakes.
Protects the integrity and confidentiality of information
Establishes relationships of trust, honesty, fairness, and integrity.
Maintains strong relationships with others.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Shares past experiences with others as learning opportunities.
Asks others for their ideas and opinions.
Accepts the views of others.
Open to the suggestions of others.
Is visible and approachable.
Time Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Allows for time buffers between tasks so that the schedule does not become delayed.
Takes the initiative to tackle critical issues earlier rather than later.
Able to get the important jobs done on time.
Accomplishes more despite limitations in time constraints.
Prioritizes completion of high-impact assignments.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is clear about the roles and duties of team members.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Provides a clear vision for the future.
Communicates ideas and facts clearly and effectively in writing.
Clearly explains the vision and goals of the company.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a person you can trust.
Takes care to maintain confidential information.
Consistently keeps commitments.
Is trustworthy; is someone I can trust.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Compliments other people when they do good work
Makes people around them feel appreciated and valued.
Recognizes individuals for a specific outstanding achievement.
Reinforces and rewards employees for accomplishing necessary goals.
Lets employees know when they have done well
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the processes and various stages of business development.
Seeks and utilizes mentors to help guide professional development.
Can work effectively in an environment of uncertainty.
Has a strategic awareness on how to promote the organization.
Excellent at managing relationships with stakeholders.

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.