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

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Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is open to new ideas and concepts.
Shares best practices with others and learns from others.
Seeks opportunities to grow in skills and knowledge.
Pursues learning that will enhance job performance.
Improves on their skill sets.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to express themselves clearly.
Able to understand others' points of view.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to manage their own emotions.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes you feel enthusiastic about your work
Is ready to offer help
Takes responsibility for things that go wrong
Delegate tasks effectively
Sets an example for others to follow
Supervisory Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies and maximizes opportunities for continuing education for employees.
Is fair and equitable in enforcement of work rules.
Is a calming force during stressful periods.
Successfully mediates conflicts between employees.
Implements disciplinary policy in accordance with the union contract
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Embraces change, values feedback, and is willing to experiment with different methods to find the most effective solutions.
Identifies new opportunities to achieve goals
Willing to deviate from rigid plans and consider a variety of methods, ensuring the most effective solution is applied.
Flexible and resilient in addressing critical incidents.
Able to integrate the latest tools and methods without causing disruption.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for errors and actively works to correct them.
Able to complete required tasks on time and delivered expected results.
Provides clear reasons for underperformance.
Accepts accountability for their work.
Holds employees accountable for completing the project successfully.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Strives to exceed standards of performance.
Increased customer satisfaction scores for the quarter.
Demonstrates improvement in performance.
Motivated to exceed performance goals.
Sets challenging goals for the department.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates and distributes code of ethics and code of conduct.
Keeps up-to-date with legislation affecting employees.
Complies with trade agreements affecting international companies.
Develops the appropriate incentives (or disincentives) for regulatory compliance.
Responds accurately and completely to questions from regulators.
Partnering/Networking	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops key business contacts at other companies.
Engages in partnerships to share risks and resources.
Enters into licensing agreements to share intellectual property.
Develops internal alliances with others in the department.
Fosters cross-department collaboration, facilitates information sharing, and establishes common objectives.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Considers impact of actions on other areas of the organization.
Involves key stakeholders (employees, customers, investors, partners) in the planning process to gain diverse perspectives and buy-in.
Bases decisions on business data rather than on intuition or hunches.
Prioritizes risks based on an understanding of their possible impact to the company.
Collects valuable customer insights to ensure our services meet their needs.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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.
Understands the "basics" as to how [Company] functions/operates.
Follows existing procedures and processes.

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.