Decision Making - 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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Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Determines constraints that may impact what decisions are acceptable.
Is able to make decisions quickly.
Exercises good judgment by making sound and informed decisions.
Decides which short- and long-term goals should be created.
Views the long and short-term impact of decisions.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prepares and delivers presentations.
Able to communicate ideas effectively and succinctly to both individuals and groups, in any setting.
Is willing to give feedback to others even if that feedback is critical of their approach.
Facilitates seamless communication across all management levels.
Communicates clearly and get to the point without unnecessary details.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does not make excuses for missed deadlines.
Lets supervisor know of any setbacks to the progress on achieving goals.
Consistently strives to meet high standards of excellence.
Regularly leads the way when helping the team troubleshoot various issues.
Keeps supervisor informed of recent events.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Promotes quality improvement practices in the department.
Provides regular and timely feedback on quality levels.
Leads the department in quality improvement initiatives.
Committed to the improvement of the quality of services and products.
Makes sure cleanliness standards are met to reduce the possibility of contamination.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prioritizes tasks to best achieve the results.
Recognizes the problem that needs to be solved.
Achieves long and short-term goals.
Sets challenging goals to be achieved.
Completes urgent tasks first.
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maximizes the use of new technology to deliver products and services.
Supports employee training and development initiatives regarding implementation of technology.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Applies complex rules and regulations to maintain optimal system performance.
Adopts the implementation of new technology into the workplace.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Offers training to reduce safety incidents in the workplace.
Works effectively to mitigate risks.
Evaluates risks in terms of their consequences and likelihood of occurrence.
Outlines the risk management framework including responsibilities, description of the process, and guidance on evaluating risk criteria and appropriate risk responses.
Adopts a risk-based approach to establishing systems of internal controls.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters an environment built upon trust.
Demonstrates honesty and truthfulness at all times.
Accepts responsibility for mistakes.
Demonstrates sincerity in actions with others.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates compassion and understanding of others.
Recognizes the contributions of others.
Recognizes when others do a good job.
Is a committed and reliable partner.
Respects other members of the team/department.
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.
Is a person you can trust.
Responsible for setting the vision of the department.
Sets a good example.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps a firm grasp on the issues and priorities.
Always has a "game plan" prior to entering into negotiations.
Is aware of potential emotional triggers that could negatively impact the negotiations.
Uses the motivations of each party to identify mutually advantageous solutions.
Stays composed and counters aggressive negotiation tactics by reframing unreasonable proposals or actions.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Considers the impact and implications of decisions on the team.
Effective team player
Seeks and listens to other's contributions
Helps the team decide what long term goals need to be met.
Facilitates effective decision-making practices to further develop the team.

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.