Coworker Development- 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

Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets and clearly communicates expectations, performance goals, and measurements to others
Works to identify root causes of performance problems
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
Provides ongoing feedback to co-workers on their development progress
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to adapt to new situations.
Acts decisively in frequently changing and uncertain environment.
Effective in incorporating new ideas.
Open to the perspectives/viewpoints of others.
Identifies new opportunities to achieve goals
Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively makes decisions
Gets the job done.
Works quickly when faced with difficult problems.
Motivates & supports others to gain skills
Displays high energy and enthusiasm on consistent basis.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Promotes training and development opportunities to enhance job performance.
Analyzes processes to determine areas for improvement.
Open to the suggestions from others.
Looks for ways to expand current job responsibilities.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Obtains commitment from employees regarding completion of tasks.
Ensures employees understand their performance expectations.
Provides employees with necessary resources to accomplish their goals.
Routinely holds audits of performance on a weekly or monthly basis.
Ensures employees understand how work is to be completed.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
...Overall Performance
Listens and responds to issues and problems
Works effectively in the department.
Effectively organizes resources and plans
Shown significant improvement in job performance.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes reports on-time.
Enthusiastic about taking on challenging projects.
Implements and uses performance measures.
Has strong technical/computer skills.
Takes responsibility for decisions.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure that team members have a clear idea of our group's goals.
Makes sure that I have a clear idea of our group's goals.
Goal Setting
Achieves established goals.
Understands & contributes to development of strategic goals.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains historical records and documents as needed/required.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Keeps track of changes in legislation affecting regulatory compliance.
Ensures the company meets legal requirements/standards regarding employees.
Offers training on various subjects to help ensure employees are aware of regulations.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works in a way that makes others want to work with her/him.
Holds herself / himself accountable to goals / objectives
Sets a good example
Is a person you can trust.
...takes personal responsibility for results.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands complex issues and problems.
Recognizes trends in underlying data.
Creates strategic plans that conform with regulations and industry guidelines.
Can effectively interpret and analyze market data.
Understands financial terminology, statements.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks and utilizes mentors to help guide professional development.
Devotes a certain amount of time and effort to developing new business opportunities.
Finds unique ways to go around barriers to success.
Understands the processes and various stages of business development.
Takes the initiative to complete tasks.

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

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

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