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
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
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 produce a wide range of products/services to meet demands.
Incorporates new skills fluently.
Able to produce goods and services across a wide spectrum of business needs.
Navigates ambiguity with ease, maintaining focus and productivity amidst uncertainty.
Is flexible in processing routine requests.
Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Motivates & supports others to gain skills
Takes action in critical situations.
Takes steps to prepare for the start of the project.
Fixes problems when they occur.
Addresses performance issues quickly.
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.
Looks for ways to improve work processes and procedures.
Looks for ways to expand current job responsibilities.
Analyzes processes to determine areas for improvement.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes employees with a long and distinguished career of service.
Measures job performance of subordinates against defined goals and objectives.
Conducts objectives and key results (OKR) assessments on a quarterly basis.
Assigns tasks and responsibilities and holds employees accountable for actions.
Uses pre-established key benchmarks to measure performance.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has great overall performance
...Produce Quality
Works well in this position.
...Overall Performance
Works effectively in the department.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
High attention to detail.
Strong organizational skills to keep the workspace and department in order
Completes reports on-time.
Takes responsibility for decisions.
Enthusiastic about taking on challenging projects.
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 established goals.
Makes sure that I have a clear idea of our group's goals.
Establishes and documents goals and objectives.
Makes sure that team members have a clear idea of our group's goals.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Knows who to contact at various regulatory agencies if needed.
Reviews documentation, processes and practices.
Ensures regulations are followed as required.
Develops a confidential reporting system to enable employees to anonymously report safety violations.
Develops regulatory compliance strategies.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a person you can trust.
Sets high personal standards of performance.
Responsible for setting the vision of the department.
Behavior is ethical and honest.
Completes assigned work tasks.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is adept at recognizing new opportunities and fostering a culture of innovation ensuring the organization stays ahead of industry trends and continues to evolve.
Accurately perceives potential risks to the business.
Responds quickly to customer business inquiries.
Assists others in understanding business changes.
Able to align resources to meet the business needs of the company.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes the initiative to complete tasks.
Encourages risk taking for developing potential business opportunities.
Seeks and utilizes mentors to help guide professional development.
Finds unique ways to go around barriers to success.
Maintains a high level of energy to respond to demands of the job.

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.