Employee Relations- 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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Employee Relations	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is willing to delegate responsibilities to employees.
Honors all provisions of the employment contracts.
Resolves disagreements with consideration for both sides.
Collaborates effectively, valuing each employee's contributions and perspectives.
Gives employees the latitude to tailor their workflows and problem-solving strategies to suit their strengths.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes employees by assigning unique and interesting tasks as a reward.
Offers recognition to peers and colleagues.
Recognizes team members who offer a significant contribution to a project.
Is fair when making any monetary awards.
Ensures that the recognition program is highly visible to the employees.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates ideas that add value.
Helps team members develop confidence to take risks and create new ideas/products.
Gives employees a sense of security that their ideas will be supported.
Communicates directly with others regardless of department, rank or position.
Allocates resources to support the implementation of new solutions.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Considers other's opinions and suggestions.
Asks for clarification of any feedback is confusing or incomplete.
Is visible and approachable.
Assists employees in analyzing the feedback they receive to identify key themes and specific areas for improvement.
Regularly solicits feedback from others.
Cultural Awareness	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Treats others with dignity and respect.
Maintains professional decorum and avoids culturally insensitive language or behavior.
Recognizes how cultural context influences employee motivation, communication, and collaboration.
Engages with individuals that have different cultural backgrounds.
Encourages a work environment where individual differences are valued.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets a high standard for job performance.
Effectively organizes resources and plans
Works well in this position.
Listens and responds to issues and problems
Able to organize work.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is trusted by peers and co-workers; others are willing to confide in him/her
Is thoughtful and honest about the feedback they give others.
Sees values in the diversity of individuals on the team.
Successfully resolves conflicts and grievances to a win-win solution.
Demonstrates willingness to work with others.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Aligns cross-functional teams to the strategic plan.
Creates deadlines for various components of the strategy.
Modifies strategic decisions depending on changes in the business environment.
Develops a strategic plan for adapting the organization to better respond to external changes in the marketplace.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.

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.