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
Weighs the pros and cons of decisions.
Recognizes and generates innovative solutions.
Makes creative decisions.
Understands how different perspectives can help make better informed decisions.
Decides which long-term goals should be met.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures comprehension during conversations or group presentations.
Keeps the supervisor informed about achievements and milestones.
Effectively engages with everyone from the CEO to external partners.
Listens effectively and responds to new information.
Recaps action steps from meetings to ensure clarity and execution.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains honesty and transparency in all communications.
Expects employees to accept the consequences of their actions.
Is someone you can trust.
Provides clear reasons for underperformance.
Takes full 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.
Corrects issues in a timely manner.
Reflects on what is working and what could be improved.
Encourages employees to produce the best quality products.
Encourages others to achieve high quality standards.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Stays focused on solving problems and getting work done.
Flexible in adjusting priorities to meet the demands of changing situations.
Has a strong result orientation.
Strives to achieve high volume of output.
Holds self and others accountable for achieving results.
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adopts the implementation of new technology into the workplace.
Proficient in the use of technical systems and processes.
Supports technical training and development of employees.
Understands and is committed to implementing new technologies.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively responds to critical situations to reduce potential for losses.
Develops appropriate strategies to minimize risks.
Creates a risk profile for projects and teams.
Is knowledgeable of standard risk management principles.
Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates sincerity in actions with others.
Develops trust and confidence from others.
Demonstrates honesty and truthfulness at all times.
Does what was promised.
Fosters an environment built upon trust.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates diverse teams of individuals with different backgrounds, skills, and abilities.
Is a role model for others demonstrating the importance of interpersonal skills.
Gives good advice and suggestions to coworkers.
Maintains a high degree of honesty and integrity.
Is someone you can trust.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a person you can trust.
Works in a way that makes others want to work with her/him.
Sets high personal standards of performance.
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
Able to control their emotional responses and correctly gauge the emotions of others.
Able to say "no" when it is essential to maintaining quality and high standards.
Changes communication styles to meet the listener's needs.
Conducts necessary preparations before engaging in negotiations.
Able to adapt to changing situations.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works with other team members on the project.
Helps the team make effective business decisions by ensuring the correctness of Company's reports/resources.
Is able to accurately paraphrase and summarize what other team members have said.
Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
Actively and openly participates in team meetings.

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.