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
Strengthens process design to reduce defects and improve reliability.
Proactively addresses risks that decrease productivity.
Enhances production line resilience through thoughtful engineering and risk mitigation.
Monitors emerging issues and intervenes early to sustain productivity.
Collaborates with upstream and downstream partners to optimize end-to-end workflow performance.
Punctuality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Starts meetings on time.
Conducts appointments at scheduled start time.
Avoids making personal phone calls during working hours.
Arrives to meetings on time.
Maintains an efficient schedule of activities.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps supervisor informed of recent events.
Can be counted on to do their role well.
Consistently strives to complete work on time or ahead of schedule.
Always starts work on time.
Works diligently for the success of the team.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Exemplifies integrity and responsibility both publicly and privately.
Follows through on your commitments, which builds trust and confidence.
Fosters a culture of trust and ethical behavior throughout the organization.
Builds and maintains trust and good working relationships.
Develops trust and confidence from others.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Supports new initiatives for organizational changes to improve effectiveness.
Succinctly conveys a vision of the changes in a way that is easy for employees to understand.
Communicates a vision for the future.
Understands the consequences that may result from significant changes.
Ensures employees are aware of how the changes will benefit the organization.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures documentation meets regulatory, audit, and organizational standards.
Uses data from the purchasing department to anticipate possible supply chain risks.
Takes steps to reduce the occurrence of the risk events.
Turns risks into opportunities.
Offers training to reduce safety incidents in the workplace.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures equipment, tools, and workstations are arranged to minimize risk and support safe operations.
Actively practices safety in the workplace.
Performs work safely.
Evaluates the organization's ability to respond to and recover from disruptions.
Is aware of OSHA safety guidelines.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Addresses employee behavior problems effectively.
Enables the proper workload balance for the employee to be able to effectively participate in coaching.
Demonstrates that challenges are temporary and often lead to growth.
Asks clarifying questions to get a better understanding of assumptions, positions, and goals.
Asks questions that challenge assumptions.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is committed to ensuring the company is providing competitive products and services.
Translates company-wide initiatives into actionable goals for the team.
Creates a work environment that employees appreciate and are able to be productive.
Effectively organizes teams in the division.
Treats all employees equitably, regardless of role, background, or tenure.

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.