Developing Others- 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

Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assigns tasks and responsibilities to develop skills of others.
Creates opportunities for professional development.
Tries to ensure employees are ready to move to the next level.
Assesses employees' developmental needs.
Sets performance objectives for subordinates that encourages development opportunities.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a lot of new ideas.
Inspires creativity in their team.
Conceives, implements and evaluates ideas.
Adds value to the department/organization.
Is creative and inspirational.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks others for their ideas and opinions.
Shares past experiences with others as learning opportunities.
Is easy to approach with ideas and opinions.
Looks to others for input.
Is visible and approachable.
Cultural Awareness	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps other employees to become more culturally sensitive.
Recognizes individual and cultural differences.
Views diversity as a strength, not as an issue.
Shows respect in daily interactions
Actively listens to other employees' stories about their culture.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
...Produce Quality
...Overall Performance
Has great overall performance
Effective in performing his/her job.
Listens and responds to issues and problems
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willing to do whatever it takes-not afraid to have to put in extra effort.
Coordinates all department activities into a cohesive team effort.
Committed to the team.
Encourages commitment in others to obtain results.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Performs regular risk analyses to minimize adverse outcomes.
Has the knowledge and skills to accurately identify risks in the workplace.
Accurately perceives potential risks in the workplace.
Gathers information regarding potential risks.
Seeks to increase safety in the workplace.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gets things done through the department.
Adept at navigating within the culture of the department.
Able to use corporate politics to advance department objectives.
Anticipates problems that may affect the department.
Understands the current organizational culture.

41. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
42. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
43. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
44. Additional comments, if any for [Participant Name Here]'s assessment.