Company- 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

Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Attends [Company] gatherings and social events.
Understands how decisions impact other business units beyond their immediate department of work group.
Expresses loyalty and dedication to [Company] in interactions with others.
Follows existing procedures and processes.
Understands the use of [Company] products and services.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Monitors spending.
Monitors expenses and verifies the need for items purchased.
Keeps excellent records for financial transparency.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops budgets and plans for various programs and initiatives.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Inspires creativity in their team.
Is creative.
Conceives, implements and evaluates ideas.
Creates a lot of new ideas.
Develops solutions to challenging problems.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Critiques own performance and learns from experience as a source of continuous improvement.
Persists until goals are achieved and commitments are met.
Constantly enhances product knowledge through experimentation and play.
Takes initiative for own learning and development.
Actively seeks to learn by asking questions and listening to all store associates.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delegate tasks effectively
Is ready to offer help
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Sets an example for others to follow
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Organizes work and sets priorities as needed.
Develops performance measures for various aspects of the project.
Maintains costs and expenses within budget limits.
Defines project outcomes based on customer requirements.
Develops action items, workplans, timelines, and criteria for projects.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Shown significant improvement in job performance.
...Overall Performance
Has great overall performance
Effectively organizes resources and plans
Works well in this position.
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.
Communicates ideas and facts clearly and effectively in writing.
Avoids creating ambiguity or mixed messages.
Attends to the important details of a job or task.
Checks details thoroughly.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops safety guidelines for the department.
Identifies predictable hazards in the workplace.
Ensures that all supervisors are aware of regulatory and compliance measures.
Performs work safely.
Seeks to reduce the likelihood of accidents.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Is a person you can trust.
Communicates an understanding of the other person's interests, needs and concerns.
Takes care to maintain confidential information.
Consistently keeps commitments.

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.