Continuous 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

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Continuous Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Strives to attain 100% customer satisfaction through continuous improvement.
Streamlines processes by removing non-value-added steps to reduce cycle times and improve flow.
Collects accurate process data to identify trends, variations, and emerging performance issues.
Facilitates joint problem-solving sessions that integrate diverse functional perspectives.
Improves production, management, and training processes.
Punctuality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains an efficient schedule of activities.
Avoids making personal phone calls during working hours.
Conducts appointments at scheduled start time.
Starts meetings on time.
Starts the workday when scheduled.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Commits to leading the initiatives to solving critical issues.
Accepts personal responsibility for producing high quality and timely work.
Acknowledges errors and takes the steps necessary to rectify them.
Aware of the consequences for failure to complete the project.
Takes responsibility for the team's actions and results.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters a high standard of ethics and integrity.
Maintains attention to detail ensuring that small details in work processes and documentation are accurate and complete.
Fosters trust within the company and with external partners by owning up to mistakes.
Creates an environment where employees feel comfortable discussing concerns or suggestions, no matter how small.
Builds trust within the organization and with external stakeholders by owning up to mistakes.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Introduces structural changes to the team/department.
Able to work effectively in new environments, with new team members in uncertain environments.
Acts with agility in various situations.
Implements procedures to plan and manage changes.
Helps employees overcome opposition to change.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Views risks as potential opportunities for profit.
Prepares periodic risk reports that summarize findings, trends, and recommended actions.
Designs risk response activities that are proportionate to the level of risk.
Assesses whether risk mitigation measures are being consistently applied across teams or departments.
Presents regular/monthly reports to the audit committee.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Reviews equipment, procedures, and environmental conditions that may have contributed to the incident.
Models a positive attitude toward safety training, encouraging others through example.
Applies industry best practices to strengthen the organization's safety programs.
Performs a safety analysis of jobs in the department.
Evaluates the effectiveness of safety training through observation, feedback, and performance data.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Coaches and mentors employees to achieve excellence.
Offers coaching that has a maximum impact on the employee.
Understands the issues that the employee may be experiencing at work.
Coaches employees on a daily basis.
Helps employees to view challenges as opportunities for personal and professional development.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Expresses loyalty and dedication to [Company] in interactions with others.
Encourages adapting and experimentation to deal with new issues facing the company.
Communicates with employees about the changes that are going to take place.
Understands the "basics" as to how [Company] functions/operates.
Designs workspaces that promote focus, collaboration, and well-being.

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.