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
Looks for ways to expand and learn new job skills.
Promotes training and development opportunities to enhance job performance.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Open to the suggestions from others.
Looks for ways to expand current job responsibilities.
Punctuality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Invoices clients on a timely basis.
Starts the workday when scheduled.
Avoids making personal phone calls during working hours.
Conducts appointments at scheduled start time.
Maintains an efficient schedule of activities.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is aware of problems or issues that may affect the organization.
Acts like an owner when they make decisions.
Holds team accountable to meeting goals.
Develops goals and establishes objective measures of success.
Keeps their word and does what they say they will do.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters a high standard of ethics and integrity.
Protects the integrity and confidentiality of information
Develops trust and confidence from others.
Follows tasks to completion.
Maintains strong relationships with others.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works cooperatively with others to implement changes.
Supports the Company's efforts to implement changes.
Supports new initiatives for organizational changes to improve effectiveness.
Adopts changes to set and example for others to follow.
Addresses organizational and departmental resistance to changes.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Knows how to obtain desired results with minimal losses.
Able to adapt quickly to changing situations.
Responds appropriately to unexplained or unanticipated events.
Works within constraints of the organization.
Seeks to retain the best and brightest employees.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Participates in safety training when available.
Supports our company's safety programs.
Identifies predictable hazards in the workplace.
Encourages others to work safely.
Seeks to reduce the likelihood of accidents.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to maintain high personal standards.
Provides clear, motivating, and constructive feedback.
Helps employees to understand responsibilities, authority, and expectations.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the "basics" as to how [Company] functions/operates.

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.