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
Understands the "basics" as to how [Company] functions/operates.
Understands the use of [Company] products and services.
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in using Company's resources.
Monitors expenses and verifies the need for items purchased.
Provides budgeting and accounting support to the Company.
Monitors spending.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a lot of new ideas.
Is creative.
Is creative and inspirational.
Develops solutions to challenging problems.
Inspires creativity in their team.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is open to feedback from others.
Demonstrates a willingness to participate in continuing education courses.
Holds self and associates accountable for goal achievement.
Constantly enhances product knowledge through experimentation and play.
Enjoys learning new skills and techniques.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delegate tasks effectively
Sets an example for others to follow
Takes responsibility for things that go wrong
Is ready to offer help
Makes you feel enthusiastic about your work
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works with customers and clients to assess their needs and define project parameters.
Understands what software tools are available to be used to manage the project.
Creates the metrics used to measure progress on the project.
Manages various facets of the project to keep it on track with the delivery date.
Keeps stakeholders informed of progress on the project.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works well in this position.
Works effectively in the department.
Sets a high standard for job performance.
Listens and responds to issues and problems
Able to organize work.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Clearly explains responsibilities to individuals.
Avoids creating ambiguity or mixed messages.
Maintains clarity in goals and objectives.
Avoids stating unclear or conflicting goals.
Uses appropriate grammar and tense in communications.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps accurate safety records.
Develops safety guidelines for the department.
Works to implement corrective safety measures.
Develops a sustainable safety culture.
Creates accurate and effective measures of safety.
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.
Takes care to maintain confidential information.
Demonstrates congruence between statements and actions.
Delivers on promises made.
Demonstrates a sense of responsibility and commitment to public 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.