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
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Exercises good judgment by making sound and informed decisions.
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Asks for additional information when making critical decisions.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Presents issues, ideas, and strategy concisely and clearly.
Gives clear and convincing presentations.
Asks follow-up questions as needed.
Communications with department leadership
An effective listener who is responsive to information needs.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a consistent process for prioritizing work.
Develops goals and establishes objective measures of success.
Accepts accountability for their actions and results.
Tackles issues head on and finds solutions.
Holds team accountable to meeting goals.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Reflects on what is working and what could be improved.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Corrects issues in a timely manner.
Encourages employees to produce the best quality products.
Encourages others to produce the highest quality work products.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Stays focused on meeting the needs of customers.
Works toward achievement of goals even when confronted with obstacles.
Explains the "whys" behind organizational objectives
Provides clear expectations for employees.
Does not become distracted by non-issues or interruptions.
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Applies complex rules and regulations to maintain optimal system performance.
Understands and is committed to implementing new technologies.
Uses technology in decision making and problem solving.
Maximizes the use of new technology to deliver products and services.
Supports employee training and development initiatives regarding implementation of technology.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks to retain the best and brightest employees.
Works within constraints of the organization.
Rewards innovative experiments to try new ideas.
Seeks to maintain the long-term viability of the Company.
Bases decisions on patterns found in fluid/changing information.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains strong relationships with others.
Develops trust and confidence from others.
Fosters a high standard of ethics and integrity.
Does what was promised.
Demonstrates sincerity in actions with others.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Strives for win/win solutions
Uses tact, compassion, and sensitivity in interactions with others.
Expresses appreciation of other's work.
Comes across as credible, knowledgeable and sincere
Successfully resolves conflicts and grievances to a win-win solution.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets high personal standards of performance.
Is a person you can trust.
...takes personal responsibility for results.
Acts as a resource without removing individual responsibility.
Sets a good example
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to influence others to accept certain positions.
Conducts necessary preparations before engaging in negotiations.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Actively listens to conversations to be able to recall important details later.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willingly share their technical expertise
Fosters respect and understanding among team members
Shares credit for accomplishments with team members
Coaches team members to work toward a common goal.
Works cooperatively with others to solve problems.

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.