Empowering 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

Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
Recognizes the importance of a healthy work/life balance.
Recognizes the contributions that others make to the department.
Allows subordinates to perform mission critical tasks.
Enables team members to make their own decisions on the project.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to see issues from others' perspectives.
Works effectively with people from other departments.
Constructively receives criticism and suggestions from others.
Is able to see issues from others' perspectives.
Consistently demonstrates ability and willingness to trust others.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Contributes to a positive and fun work environment.
Treats all people fairly and with respect.
Contributes to a positive work environment.
Builds open and trusting relationships.
Visibly supports and encourages diversity in style and background.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets an example for others to follow
Is ready to offer help
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
Delegate tasks effectively
Supervisory Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates effectively with employees.
Is able to manage emotions during difficult times.
Meets with employees at the end of the job to debrief them.
Demonstrates exemplary work performance that others should follow.
Determines the training and development needs of employees and staff.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes and documents goals and objectives.
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves established goals.
Understands & contributes to development of strategic goals.
Makes sure that I have a clear idea of our group's goals.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Clearly explains the vision and goals of the company.
Adjusts communication methods to the needs of the audience.
Clarifies problems and their causes to help employees correct them.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Is clear about goals that need to be achieved.
Global Perspective	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has positive interactions with individuals from different cultures and backgrounds.
Cooperates with others on a global scale.
Able to work with others from different cultures and countries.
Builds working relationships with others across cultures.
Respects individual differences.

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.