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 information in a clear, concise, and logical manner.
Maintains eye contact to foster direct communication.
Articulates ideas clearly and assertively.
Checks for understanding throughout conversations or group presentations/discussions
Verifies understanding throughout discussions.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a lot of new ideas.
Inspires creativity in their team.
Conceives, implements and evaluates ideas.
Is creative and inspirational.
Adds value to the department/organization.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Upholds ethical standards even when no one is watching.
Develops goals and establishes objective measures of success.
Informs supervisor of progress without having to be asked about it.
Understands the importance of holding employees accountable for their work.
Demonstrates a commitment to taking responsibility for actions.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates honesty and truthfulness at all times.
Establishes relationships of trust, honesty, fairness, and integrity.
Does what was promised.
Protects the integrity and confidentiality of information
Develops trust and confidence from others.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is easy to approach with ideas and opinions.
Shares past experiences with others as learning opportunities.
Open to the suggestions of others.
Looks to others for input.
Actively seeks feedback from others.
Time Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Focuses on tasks that have high priority.
Avoids delays by working quickly.
Rarely misses deadlines; often producing results before expected.
Is concerned about adhering to the schedule.
Tackles major tasks or problems first before addressing minor issues.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Clearly explains responsibilities to individuals.
Provides a clear vision for the future.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Avoids stating unclear or conflicting goals.
Adjusts communication methods to the needs of the audience.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Builds and maintains the trust of others.
Demonstrates congruence between statements and actions.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Works in a way that makes others want to work with her/him.
Communicates an understanding of the other person's interests, needs and concerns.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is sincerely interested in the suggestions of co-workers
Readily shares credit and gives others opportunity for visibility.
Compliments other people when they do good work
Recognizes individuals for a specific outstanding achievement.
Offers recognition in a timely manner.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Excellent at managing relationships with stakeholders.
Can work effectively in an environment of uncertainty.
Exhibits determination and passion in completion of goals.
Takes the initiative to complete tasks.
Encourages dynamic growth 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.