Communication - 360 Degree Feedback Survey Sample #6

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 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 and . 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
Able to demonstrate persuasiveness in pursuit of objectives.
Communicates effectively with all levels of the organization.
An effective listener who is responsive to information needs.
Communicates effectively with colleagues and customers
Listens to others' points of view with an open mind
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adds value to the department/organization.
Develops solutions to challenging problems.
Inspires creativity in their team.
Creates a lot of new ideas.
Conceives, implements and evaluates ideas.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Defines roles, rights, and responsibilities of the team.
Keeps supervisor informed of recent events.
Creates a consistent process for prioritizing work.
Takes responsibility for results.
Acts like an owner when they make decisions.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains strong relationships with others.
Develops trust and confidence from others.
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters a high standard of ethics and integrity.
Follows tasks to completion.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Considers other's opinion and suggestions.
Shares past experiences with others as learning opportunities.
Looks to others for input.
Time Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does not procrastinate.
Sets a good balance between work and family life.
Prioritizes new tasks according to their relative importance.
Deals effectively with interruptions.
Uses agendas when chairing or facilitating meetings.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Avoids creating ambiguity or mixed messages.
Avoids stating unclear or conflicting goals.
Checks details thoroughly.
Maintains clarity in goals and objectives.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works in a way that makes others want to work with her/him.
Demonstrates congruence between statements and actions.
Consistently keeps commitments.
Delivers on promises made.
Is trustworthy; is someone I can trust.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Offers recognition in a timely manner.
Recognizes individuals for a specific outstanding achievement.
Compliments other people when they do good work
Readily shares credit and gives others opportunity for visibility.
Reinforces and rewards employees for accomplishing necessary goals.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages risk taking for developing potential business opportunities.
Able to adapt the department to changing business demands and climate.
Encourages dynamic growth opportunities.
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 .
    

    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 's assessment.