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
Works to identify root causes of performance problems
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willing to try new ideas.
Effective in incorporating new ideas.
Acts decisively in frequently changing and uncertain environment.
Adapts to circumstances as needed.
Works effectively during periods of change.
Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works quickly when faced with difficult problems.
Is not afraid to take corrective action when necessary.
Effectively makes decisions
Motivates & supports others to gain skills
Makes effective decisions, even when under pressure.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyzes processes to determine areas for improvement.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to expand current job responsibilities.
Looks for ways to improve work processes and procedures.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Obtains commitment from employees regarding completion of tasks.
Reviews job performance shortly after completion of tasks.
Recognizes and values good performance.
Sets specific and measurable goals for others and follows through to completion.
Provides employees with necessary resources to accomplish their goals.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in performing his/her job.
...Produce Quality
Works well in this position.
Able to organize work.
Listens and responds to issues and problems
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes reports on-time.
Accurately implements contract provisions.
Takes responsibility for decisions.
Implements and uses performance measures.
High attention to detail.
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.
Achieves goals.
Sets high expectations and goals; encourages others to support the organization.
Makes sure that I have a clear idea of our group's goals.
Goal Setting
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures regulations are followed as required.
Keeps informed of various regulations and procedures.
Addresses issues quickly before they develop into major problems.
Maintains a state of readiness to address new and changing regulations and procedures.
Understands the applicable regulations and laws that impact our business.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Holds herself / himself accountable to goals / objectives
Works in a way that makes others want to work with her/him.
Responsible for setting the vision of the department.
Acts as a resource without removing individual responsibility.
Sets a good example
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Applies the knowledge of work processes to influence the achievement of business goals
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Able to align resources to meet the business needs of the company.
Considers impact of actions on other areas of the organization.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages risk taking for developing potential business opportunities.
Has a strategic awareness on how to promote the organization.
Encourages dynamic growth opportunities.
Exhibits determination and passion in completion of goals.
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.