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Company- 360 Degree Feedback Survey Sample #6





360-Degree Assessment Survey

Surveys Measuring Company:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

Sample Result Document in PDF format:
360-Feedback Results (pdf)
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



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Company

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Understands the use of [Company] products and services.
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Understands how decisions impact other business units beyond their immediate department of work group.
  1. Follows existing procedures and processes.


Fiscal Management

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Develops of the department's annual budget.
  1. Provides budgeting and accounting support to the Company.
  1. Monitors expenses and verifies the need for items purchased.


Creativity

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Inspires creativity in their team.
  1. Creates a lot of new ideas.
  1. Is creative.
  1. Develops solutions to challenging problems.
  1. Conceives, implements and evaluates ideas.


Passion To Learn

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Enhances value to the company through additional training and development.
  1. Embraces new technology and procedures.
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Constantly enhances product knowledge through experimentation and play.


Management

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Is ready to offer help
  1. Takes responsibility for things that go wrong
  1. Makes you feel enthusiastic about your work
  1. Sets an example for others to follow
  1. Keep staff informed about what is happening in the company


Project Management

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Identifies risks to each phase of the project.
  1. Communicates with all employees involved on the project.
  1. Ensures that the project remains at or under budget.
  1. Assesses the ability of the organization to handle the project.
  1. Inspires others to accomplish goals and objectives.


Performance

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Shown significant improvement in job performance.
  1. Effective in performing his/her job.
  1. ...Produce Quality
  1. ...Overall Performance
  1. Has great overall performance


Clarity

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Uses appropriate grammar and tense in communications.
  1. Clarifies problems and their causes to help employees correct them.
  1. Avoids stating unclear or conflicting goals.
  1. Writes clear job descriptions for positions in the organization.
  1. Provides a clear vision for the future.


Safety

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Develops a strong safety culture.
  1. Develops a culture of safety.
  1. Supports safety programs and procedures.
  1. Committed to safety in the workplace.
  1. Works to implement corrective safety measures.


Trustworthy

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Is a person you can trust.
  1. Takes ownership, delivers on commitments
  1. Demonstrates congruence between statements and actions.



  1. Overall, please rate the effectiveness of [Participant Name Here].






  2. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  3. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  4. Additional comments, if any for [Participant Name Here]'s assessment.