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
Impresses upon others the important aspects of [Company].
Attends [Company] gatherings and social events.
Understands the use of [Company] products and services.
Follows existing procedures and processes.
Understands the "basics" as to how [Company] functions/operates.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops budgets and plans for various programs and initiatives.
Effective in using Company's resources.
Monitors spending.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors expenses and verifies the need for items purchased.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is creative and inspirational.
Conceives, implements and evaluates ideas.
Adds value to the department/organization.
Is creative.
Develops solutions to challenging problems.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is open to feedback from others.
Enhances value to the company through additional training and development.
Stays up-to-date on emerging technologies.
Demonstrates a willingness to participate in continuing education courses.
Is committed to enhancing their own knowledge and skills.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for things that go wrong
Is ready to offer help
Keep staff informed about what is happening in the company
Delegate tasks effectively
Makes you feel enthusiastic about your work
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Regularly reviews project performance and goals.
Develops performance measures for various aspects of the project.
Inspires others to accomplish goals and objectives.
Responds quickly and appropriately to unforeseen problems.
Develops action items, workplans, timelines, and criteria for projects.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to organize work.
Effectively organizes resources and plans
Effective in performing his/her job.
Works well in this position.
Listens and responds to issues and problems
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides a clear vision for the future.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Avoids creating ambiguity or mixed messages.
Writes clear job descriptions for positions in the organization.
Clarifies problems and their causes to help employees correct them.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates accurate and effective measures of safety.
Participates in safety training when offered.
Keeps accurate safety records.
Develops a strong safety culture.
Supports our company's safety programs.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delivers on promises made.
Demonstrates a sense of responsibility and commitment to public trust.
Communicates an understanding of the other person's interests, needs and concerns.
Takes ownership, delivers on commitments
Is a person you can trust.

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.