Continual Learning - 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 Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks opportunities to grow in skills and knowledge.
Builds on their strengths while addressing their weaknesses.
Participates in regular training offered.
Grasps new ideas, concepts, technical, or business knowledge.
Improves on their skill sets.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to control their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is attentive to emotional cues and interprets others' feelings correctly.
Accurately perceives the emotional reactions of others.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delegate tasks effectively
Makes you feel enthusiastic about your work
Is ready to offer help
Sets an example for others to follow
Takes responsibility for things that go wrong
Supervisory Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides constructive, ongoing feedback.
Promotes teamwork and cooperation within the department.
Treats all staff equitably.
Encourages employees to achieve their full potential.
Delegates effectively.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Open to the perspectives/viewpoints of others.
Acts decisively in frequently changing and uncertain environment.
Implements changes as a result of having listened to employees
Encourages others to adopt new procedures.
Able to adapt to new situations.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for results.
Is someone you can trust.
Acts like an owner when they make decisions.
Develops goals and establishes objective measures of success.
Defines roles, rights, and responsibilities of the team.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates a well-organized and timely approach to achieve desired results
Completes work to a high technical standard
Completes work to given time frame and to budget
Accepts setbacks and challenges as improvement opportunities
Set high standards in their performance
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Follows all safety regulations and procedures.
Maintains a state of readiness to address new and changing regulations and procedures.
Understands the applicable regulations and laws that impact our business.
Addresses issues quickly before they develop into major problems.
Ensures regulations are followed as required.
Partnering/Networking	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Partners with peers to obtain influence within the Company.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Creates the conditions for partnerships to grow and develop.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Considers impact of actions on other areas of the organization.
Asks the 'right' questions to size up or evaluate situations.
Understands complex issues and problems.
Able to align resources to meet the business needs of the company.
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Follows existing procedures and processes.
Impresses upon others the important aspects of [Company].
Understands how decisions impact other business units beyond their immediate department of work group.
Attends [Company] gatherings and social events.
Understands the use of [Company] products and services.

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

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

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