Continual Improvement - 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

Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Open to the suggestions from others.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand and learn new job skills.
Looks for ways to improve work processes and procedures.
Punctuality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responds to requests for information in a timely manner.
Arrives to meetings on time.
Avoids making personal phone calls during working hours.
Invoices clients on a timely basis.
Starts meetings on time.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts personal responsibility for the timeliness of work.
Works diligently for the success of the team.
Holds employees accountable for completing the project successfully.
Regularly completes tasks on time.
Informs the supervisor if progress on the task has been delayed.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates sincerity in actions with others.
Protects the integrity and confidentiality of information
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters a high standard of ethics and integrity.
Fosters an environment built upon trust.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is an inspiration for others to accept the recent changes.
Able to get team members to change their attitudes.
Develops a strategy for implementing changes.
Adopts changes to set and example for others to follow.
Inspires others to want to change.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Bases decisions on patterns found in fluid/changing information.
Able to adapt quickly to changing situations.
Implements changes to reduce the chances of critical incidents in the future.
Rewards innovative experiments to try new ideas.
Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Points out behaviors in others that may be unsafe.
Ensures that all supervisors are aware of regulatory and compliance measures.
Mitigates hazards and safety issues that arise.
Performs work safely.
Develops safety guidelines for the department.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops the skills and capabilities of others.
Helps employees to maintain high personal standards.
Helps employees to understand responsibilities, authority, and expectations.
Provides clear, motivating, and constructive feedback.
Conducts regular performance appraisals and feedback.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the use of [Company] products and services.
Attends [Company] gatherings and social events.
Understands how decisions impact other business units beyond their immediate department of work group.
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
47. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
48. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
49. Additional comments, if any for [Participant Name Here]'s assessment.