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.
Understands the "basics" as to how [Company] functions/operates.
Follows existing procedures and processes.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops budgets and plans for various programs and initiatives.
Keeps excellent records for financial transparency.
Develops of the department's annual budget.
Provides budgeting and accounting support to the Company.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a lot of new ideas.
Adds value to the department/organization.
Is creative.
Conceives, implements and evaluates ideas.
Develops solutions to challenging problems.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is open minded and curious about learning new skills.
Is committed to enhancing their own knowledge and skills.
Exhibits willingness to upgrade skills through additional training and education.
Demonstrates a willingness to participate in continuing education courses.
Constantly enhances product knowledge through experimentation and play.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep staff informed about what is happening in the company
Takes responsibility for things that go wrong
Sets an example for others to follow
Delegate tasks effectively
Is ready to offer help
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Manages various facets of the project to keep it on track with the delivery date.
Locates the financial resources to budget for the project.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Creates a risk management plan and periodically updates it as the project moves forward.
Presents clear and accurate status information to required constituents.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Listens and responds to issues and problems
Has great overall performance
Shown significant improvement in job performance.
Works effectively in the department.
Works well in this position.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Clearly explains responsibilities to individuals.
Checks details thoroughly.
Communicates with clarity and efficiency.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Maintains clarity in goals and objectives.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Commits adequate resources toward safety measures.
Identifies and addresses safety needs.
Supports safety programs and procedures.
Participates in safety training when available.
Mitigates hazards and safety issues that arise.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes care to maintain confidential information.
Delivers on promises made.
Is a person you can trust.
Works in a way that makes others want to work with her/him.
Is trustworthy; is someone I 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.