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

Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does not lose sight of the big picture when making decisions
Receptive to new ideas from others when making decisions.
Applies creative reasoning in making decisions.
Identifies parameters impacting the decision.
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Checks for understanding throughout conversations or group presentations/discussions
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Addresses issues of key importance to stakeholders.
Able to deliver presentations.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Implements and facilitates controls and processes that maintain the integrity of the organization.
Can be counted on to do what they say they are going to do.
Develops goals and establishes objective measures of success.
Takes ownership of mistakes and learns from them.
Takes responsibility for results.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Always strives to produce the highest quality work products.
Encourages others to achieve high quality standards.
Holds employees accountable for their quality of work.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Corrects issues in a timely manner.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides clear expectations for employees.
Directs team in prioritizing daily work activities
Encourages a high-energy, fun work environment and coaches others on how to do the same
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Does not become distracted by non-issues or interruptions.
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 technical training and development of employees.
Adopts the implementation of new technology into the workplace.
Understands and is committed to implementing new technologies.
Supports employee training and development initiatives regarding implementation of technology.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops policies for risk management.
Develops policies to address risk situations in the workplace.
Accurately determines appropriate risk levels (i.e., levels of acceptable risk).
Creates a risk profile for projects and teams.
Offers training to reduce safety incidents in the workplace.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts responsibility for mistakes.
Protects the integrity and confidentiality of information
Follows tasks to completion.
Fosters a high standard of ethics and integrity.
Maintains strong relationships with others.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Builds a strong rapport with co-workers.
Uses tact, compassion, and sensitivity in interactions with others.
Is open and approachable
Effectively manages conflicts by dealing with them directly and immediately
Expresses appreciation of other's work.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responsible for setting the vision of the department.
Sets high personal standards of performance.
Is a person you can trust.
Sets a good example
Holds herself / himself accountable to goals / objectives
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Leverages relationships with others to achieve goals.
Understands the expectations of other parties in the negotiation.
Researches the needs of the other party to identify strengths and weaknesses of positions.
Is flexible in responses.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Comes across as a reliable, committed team member
Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
Applies knowledge of team behavior to help achieve organizational goals and objectives.
Effective team player
Encourages others to share ideas to develop team cohesion

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.