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
Provides constructive feedback to others.
Is open to receiving feedback.
Tries to ensure employees are ready to move to the next level.
Creates opportunities for professional development.
Sets performance objectives for subordinates that encourages development opportunities.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops solutions to challenging problems.
Creates a lot of new ideas.
Is creative and inspirational.
Conceives, implements and evaluates ideas.
Inspires creativity in their team.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is visible and approachable.
Actively seeks feedback from others.
Considers other's opinion and suggestions.
Is easy to approach with ideas and opinions.
Accepts the views of others.
Cultural Awareness	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts individual differences.
Seeks to reduce obstacles in communication that might arise from cultural differences.
Seeks clarification to avoid misunderstandings.
Respects the views offered by individuals with different cultural backgrounds.
Views diversity as a strength, not as an issue.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in performing his/her job.
Works effectively in the department.
Sets a high standard for job performance.
Able to organize work.
Has great overall performance
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to focus on a task even when working alone.
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.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Maintains persistence and dedication to achieving results.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes that small changes may snowball into major events.
Seeks to increase safety in the workplace.
Is knowledgeable of standard risk management principles.
Turns risks into opportunities for advancement.
Monitors the effectiveness of risk management strategies.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the current organizational culture.
Able to explain departmental policies and procedures to others.
Adept at navigating within the culture of the department.
Able to use corporate politics to advance department objectives.
Effective in communicating with others within the organization.

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.