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
Is creative about the decisions they make.
Applies creative reasoning in making decisions.
Uses reasonable assumptions and logic to decide between alternate courses of action
Is firm in their decision and not easily influenced by the whims of others.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Presents information in a clear and logical format.
Confidently communicates across all organizational levels, including external stakeholders.
Ready to offer feedback, even if it involves tough critiques.
Effectively delivers presentations to teams, large groups, and diverse audiences
Conducts impactful training sessions.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts personal responsibility for not meeting expectations.
Consistently strives to meet high standards of excellence.
Takes full responsibility for unmet expectations and makes corrective actions immediately.
Can be counted on to do what they say they are going to do.
Makes sure the supervisor is always informed of any important events.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Consistently provides timely, accurate, and reliable information on quality measures.
Influences others to achieve high quality standards.
Recognizes their role in promoting quality and safety in the workplace.
Develops a quality manual to assist in troubleshooting issues and documenting the quality management system.
Promotes an environment that fosters quality and safety.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Produces a high volume of work.
Responds to changing events to maintain progress toward achieving results.
Has a positive attitude that encourages others to continue supporting the production goals.
Does not become distracted by non-issues or interruptions.
Works toward achievement of goals even when confronted with obstacles.
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adopts the implementation of new technology into the workplace.
Understands and is committed to implementing new technologies.
Uses technology in decision making and problem solving.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Supports technical training and development of employees.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses risk management to remain in compliance with regulations.
Seeks to maintain the long-term viability of the Company through effective risk management.
Improves process safety where possible.
Seeks to reduce uncertainty (risks) in the supply chain.
Evaluates the impact of certain events on the attainment of corporate objectives.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains strong relationships with others.
Does what was promised.
Demonstrates sincerity in actions with others.
Develops trust and confidence from others.
Follows tasks to completion.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Attends to both the content and the context of what was being said.
Expresses appreciation of other's work.
Demonstrates willingness to work with others.
Is open and approachable
Values the opinions of others.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Holds herself / himself accountable to goals / objectives
Completes assigned work tasks.
Behavior is ethical and honest.
Sets high personal standards of performance.
Is a person you can trust.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes a strong, cooperative atmosphere; defines expectations; and presents a well-structured agenda aligned with key priorities.
Able to say "no" when it is essential to maintaining quality and high standards.
Leverages relationships with others to achieve goals.
Creates a constructive atmosphere, building a positive relationship for cooperative negotiations.
Identifies goals and objectives desired as well as the strengths and weaknesses currently possessed.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps the team to bounce back from obstacles.
Finds opportunities to recognize and reward team members.
Promotes a team spirit within and outside department; partners with other groups.
Encourages other team members to adopt new procedures.
Communicates well with team members.

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.