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

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Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gives employees the opportunity to make their own decisions at work.
Distributes the workload to subordinates.
Allows employees to take training to increase their skill levels so that they can be more independent.
Set clear goals for assignments.
Demonstrates confidence in the abilities of subordinates.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Respects the opinions of other employees.
Consistently demonstrates ability and willingness to trust others.
Works across boundaries within the organization.
Helpful
Able to see issues from others' perspectives.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Contributes to a positive work environment.
Contributes to a positive and fun work environment.
Visibly supports and encourages diversity in style and background.
Treats all people fairly and with respect.
Works to eliminate unnecessary work or barriers that get in others' way.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delegate tasks effectively
Is ready to offer help
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Takes responsibility for things that go wrong
Supervisory Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates exemplary work performance that others should follow.
Effectively determines which issues need immediate attention.
Spends time to actively listen to the grievance.
Decides the best approach for addressing issues that arise on the job.
Is fair and equitable in enforcement of work rules.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes and documents goals and objectives.
Achieves established goals.
Goal Setting
Makes sure that team members have a clear idea of our group's goals.
Sets high expectations and goals; encourages others to support the organization.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Attends to the important details of a job or task.
Maintains clarity in goals and objectives.
Writes clear job descriptions for positions in the organization.
Clearly defines work objectives for employees.
Seeks to reduce ambiguity in messaging and documents.
Global Perspective	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Cooperates with others on a global scale.
Understands how cultures differ and how these differences impact work behavior.
Is aware of the culture, behaviors, identities and beliefs of others.
Engages in problem solving with individuals outside of the country.
Accepts setbacks and challenges in foreign markets as improvement opportunities

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.