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
Provides ongoing feedback to co-workers on their development progress
Adapts coaching and mentoring approach to meet the style or needs of individuals
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
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Introduces new products or services.
Able to change or adjust processes to accommodate changes in equipment or supplies.
Encourages flexibility in the onboarding process.
Able to produce a wide range of products/services to meet demands.
Supports a culture that values flexibility, continuous improvement and innovation.
Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assigns tasks to individuals who are most able to perform them.
Effectively makes decisions
Moves forward on important projects.
Creates innovative products and services.
Is proactive in addressing the needs of the department.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Promotes training and development opportunities to enhance job performance.
Open to the suggestions from others.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to improve work processes and procedures.
Looks for ways to expand and learn new job skills.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure commitments are understood and met.
Recognizes team members when they contribute significantly to the team.
Ensures employees understand how work is to be completed.
Informs the employee of the required sales/production targets.
Measures job performance of subordinates against defined goals and objectives.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets a high standard for job performance.
...Produce Quality
Listens and responds to issues and problems
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
Strong organizational skills to keep the workspace and department in order
Completes reports on-time.
Enthusiastic about taking on challenging projects.
High attention to detail.
Takes responsibility for decisions.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Conducts timely follow-up; keeps others informed on a need to know basis.
Goal Setting
Achieves goals.
Sets high expectations and goals; encourages others to support the organization.
Establishes and documents goals and objectives.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Submits complete applications for necessary certifications.
Establishes a governance body to monitor and guide the organization's activities.
Develops the appropriate incentives (or disincentives) for regulatory compliance.
Offers training to employees to ensure they are complying with regulations.
Creates necessary compliance policies and procedures.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Behavior is ethical and honest.
Completes assigned work tasks.
Sets a good example.
...takes personal responsibility for results.
Responsible for setting the vision of the department.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Understands impacts of domestic & global market events & issues.
Applies the knowledge of work processes to influence the achievement of business goals
Understands and applies business and financial principles.
Knows how to use financial information to make an impact on the organization.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the processes and various stages of business development.
Exhibits determination and passion in completion of goals.
Devotes a certain amount of time and effort to developing new business opportunities.
Is comfortable operating in an environment of uncertainty.
Excellent at managing relationships with stakeholders.

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.