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
Open to the suggestions from others.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to expand current job responsibilities.
Analyzes processes to determine areas for improvement.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Punctuality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains an efficient schedule of activities.
Conducts appointments at scheduled start time.
Arrives to meetings on time.
Starts the workday when scheduled.
Avoids making personal phone calls during working hours.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps supervisor informed of recent events.
Takes full responsibility for team's lack of progress.
Holds employees accountable for their participation in solving department problems and issues.
Ensures that employee objectives are aligned with the organization's objectives.
Does not make excuses for missed deadlines.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does what was promised.
Demonstrates honesty and truthfulness at all times.
Fosters an environment built upon trust.
Accepts responsibility for mistakes.
Establishes relationships of trust, honesty, fairness, and integrity.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works cooperatively with others to implement changes.
Addresses organizational and departmental resistance to changes.
Able to get team members to change their attitudes.
Is a leading force driving changes.
Effective in dealing with ambiguous and challenging situations.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Conducts regular audit of the risk management framework.
Takes steps to contain the costs of responding to such events.
Accurately perceives potential risks in the workplace.
Improves process safety where possible.
Implements changes to reduce the chances of critical incidents in the future.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Participates in safety training as applicable.
Supports our company's safety programs.
Ensures that all supervisors are aware of regulatory and compliance measures.
Performs work safely.
Ensures compliance with safety regulations.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Helps employees to understand responsibilities, authority, and expectations.
Helps employees to maintain high personal standards.
Addresses employee behavior problems effectively.
Meets regularly with employees to coach them on areas that will enhance their performance
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the use of [Company] products and services.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the "basics" as to how [Company] functions/operates.
Impresses upon others the important aspects of [Company].
Understands how decisions impact other business units beyond their immediate department of work group.

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.