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
Engages in clear communication with both senior and junior management.
Discusses ideas and concepts with peers.
Reports progress on goals to the supervisor.
Presents issues, ideas, and strategy concisely and clearly.
Informs others about changes or developments in plans and goals.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Conceives, implements and evaluates ideas.
Inspires creativity in their team.
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
Takes full responsibility for lack of results achieved.
Holds employees accountable through regular performance reviews.
Demonstrates a commitment to taking responsibility for actions.
Holds employees accountable for meeting performance benchmarks.
Takes full responsibility for project outcomes.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates sincerity in actions with others.
Maintains strong relationships with others.
Follows tasks to completion.
Establishes relationships of trust, honesty, fairness, and integrity.
Accepts responsibility for mistakes.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Actively seeks feedback from others.
Accepts the views of others.
Is easy to approach with ideas and opinions.
Shares past experiences with others as learning opportunities.
Considers other's opinion and suggestions.
Time Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses limited time efficiently.
Delegates tasks to free up time to focus on more important issues.
Organizes work responsibilities for maximum efficiency.
Focuses time on the tasks that yield the highest value.
Excellent at keeping track of time.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Clearly explains responsibilities to individuals.
Is clear about goals that need to be achieved.
Uses appropriate grammar and tense in communications.
Clearly explains the vision and goals of the company.
Avoids creating ambiguity or mixed messages.
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 ownership, delivers on commitments
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Is a person you can trust.
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.
Lets employees know when they have done well
Makes people around them feel appreciated and valued.
Offers recognition in a timely manner.
Recognizes team members who offer a significant contribution to a project.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is comfortable operating in an environment of uncertainty.
Able to adapt the department to changing business demands and climate.
Seeks and utilizes mentors to help guide professional development.
Understands the processes and various stages of business development.
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.