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

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Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assigns tasks and responsibilities to develop skills of others.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Encourages employees through recognition of positive changes in behavior.
Supports the successes of other employees.
Provides constructive feedback to others.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is creative.
Is creative and inspirational.
Conceives, implements and evaluates ideas.
Adds value to the department/organization.
Inspires creativity in their team.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks others for their ideas and opinions.
Considers other's opinion and suggestions.
Is easy to approach with ideas and opinions.
Accepts the views of others.
Is visible and approachable.
Cultural Awareness	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Participates in cultural training sessions/classes.
Is willing to include individuals with different cultural backgrounds on the team.
Seeks to reduce obstacles in communication that might arise from cultural differences.
Avoids referring to stereotypes about others from different cultures.
Respects others regardless of age, race, gender, nationality, or disability.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Shown significant improvement in job performance.
...Produce Quality
Works well in this position.
Able to organize work.
Works effectively in the department.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains persistence and dedication to achieving results.
Able to focus on a task even when working alone.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
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
Evaluates risks against acceptable risk levels.
Uses financial data to mitigate financial risks.
Determines a proportional response in relation to the level of risk.
Identifies the controls needed.
Perceives the risks of different work tasks and activities.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Anticipates problems that may affect the department.
Gets things done through the department.
Understands departmental policies and procedures.
Able to use corporate politics to advance department objectives.
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.