Critical Thinking- 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

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Critical Thinking	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Considers multiple perspectives before forming conclusions.
Documents and records data.
Develops a sufficient understanding of the facts of the situation to be able to make correct inferences.
Frames findings within the context of the original question or hypothesis.
Identifies and challenges assumptions.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is flexible in solving difficult problems.
Works effectively during periods of change.
Swiftly adapts to changes, anticipates challenges and takes preemptive actions.
Capable of adjusting to necessary modifications in the work environment.
Adapts to different settings, tasks, and challenges with ease.
Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Consciously controls own negative emotions in order to keep team morale up.
Uses patience and self-control in working with customers and associates.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Welcomes feedback as a catalyst for self-reflection and development.
Accepts the views of others.
Avoids becoming defensive or taking feedback personally, understanding that the purpose of feedback is to improve performance or behavior.
Receptive to feedback from others regarding both strengths and weaknesses.
Addresses any issues discovered during the feedback process.
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides coaching and guidance when needed but avoids micromanaging.
Creates an environment where feedback is normalized and welcomed, not feared.
Maintains high standards of honesty and integrity.
Encourages calculated risk-taking and treats mistakes as learning opportunities, not failures.
Demonstrates bravery in addressing challenging matters directly and effectively.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Submits complete applications for necessary certifications.
Uses operational compliance reports to evaluate the effectiveness of internal processes.
Addresses issues quickly before they develop into major problems.
Offers training to employees to ensure they are complying with regulations.
Complies with regulatory requirements for the state.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Always keeps the supervisor informed of relevant information.
Regularly leads the way when helping the team troubleshoot various issues.
Projects an image of transparency and trustworthiness in the administration of fair and equitable policies.
Accepts personal responsibility for their actions.
Holds employees responsible if expectations are not met.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets performance objectives for subordinates that encourages development opportunities.
Is open to receiving feedback.
Tries to ensure employees are ready to move to the next level.
Supports the successes of other employees.
Provides constructive feedback to others.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Determines who has the autonomy (authority) to make the decisions necessary to end the conflict.
Seeks to develop a shared understanding of the issues involved.
Does not let minor issues escalate into major problems.
Develops long-term methods for addressing conflicts.
Uses storytelling or analogies to reframe perspectives and soften resistance to change.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Monitors spending.
Ensures others follow the correct rules and regulations on fiscal matters.
Develops budgets and plans for various programs and initiatives.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors expenses and verifies the need for items purchased.

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

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

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