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
Takes immediate action on poor performance
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Sets and clearly communicates expectations, performance goals, and measurements to others
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willing to try new ideas.
Is open to alternative ways to accomplish goals
Identifies new opportunities to achieve goals
Can handle changes without complaining.
Acts decisively in frequently changing and uncertain environment.
Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fixes small issues before they become critical incidents.
Decides to act rather than remain passive.
Takes corrective action when necessary.
Regularly conducts preventative maintenance on the equipment.
Starts immediately working on assignments.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Looks for ways to expand and learn new job skills.
Looks for ways to improve work processes and procedures.
Open to the suggestions from others.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand current job responsibilities.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is proactive in administering the rewards program.
Initiates a performance improvement plan for underperforming subordinates.
Ensures that team goals are met 85 percent of the time.
Monitors performance on a regular basis.
Implements remediation plans as needed.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively organizes resources and plans
...Produce Quality
Listens and responds to issues and problems
Able to organize work.
Effective in performing his/her job.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
High attention to detail.
Accurately implements contract provisions.
Able to develop, justify and present a budget.
Enthusiastic about taking on challenging projects.
Has strong technical/computer skills.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands & contributes to development of strategic goals.
Makes sure that team members have a clear idea of our group's goals.
Sets high expectations and goals; encourages others to support the organization.
Conducts timely follow-up; keeps others informed on a need to know basis.
Establishes and documents goals and objectives.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates documents and reports as needed to maintain compliance with regulations.
Is professional and courteous in interactions with auditors and regulators.
Implements regulatory changes in a timely manner.
Complies with trade agreements affecting international companies.
Offers training to employees to ensure they are complying with 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.
Acts as a resource without removing individual responsibility.
Behavior is ethical and honest.
Sets a good example
Sets a good example.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands complex issues and problems.
Understands the dynamics of our industry.
Creates strategic plans that conform with regulations and industry guidelines.
Seeks to better understand other areas of the company, including their operations, personnel, and output.
Can effectively interpret and analyze market data.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks and utilizes mentors to help guide professional development.
Finds unique ways to go around barriers to success.
Takes the initiative to complete tasks.
Understands the processes and various stages of business development.
Encourages risk taking for developing potential business opportunities.

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.