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
Sets clear goals for others to accomplish.
Allows individuals to be responsible for their decisions.
Encourages others to obtain necessary skills and training.
Distributes the workload to subordinates.
Avoids micromanaging their employees.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Supports the efforts of other employees in implementing solutions to problems.
Constructively receives criticism and suggestions from others.
Respects the opinions of other employees.
...treats others with respect and dignity.
Forms working relationships with employees from other departments.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Shows by their actions that they trust in the positive intentions of others.
Visibly supports and encourages diversity in style and background.
Works to eliminate unnecessary work or barriers that get in others' way.
Contributes to a positive and fun work environment.
Contributes to a positive work environment.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Sets an example for others to follow
Is ready to offer help
Keep staff informed about what is happening in the company
Supervisory Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides constructive, ongoing feedback.
Promotes teamwork and cooperation within the department.
Delegates effectively.
Maintains good working relationships with employees.
Resolves personnel problems quickly and effectively.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Achieves goals.
Understands & contributes to development of strategic goals.
Goal Setting
Makes sure that team members have a clear idea of our group's 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
Clarifies problems and their causes to help employees correct them.
Avoids creating ambiguity or mixed messages.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Attends to the important details of a job or task.
Maintains clarity in goals and objectives.
Global Perspective	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Forms strong client relationships with international partners.
Analyzes global issues/problems that are having a large impact on the Company.
Accepts setbacks and challenges in foreign markets as improvement opportunities
Aligns personal vision with global strategies.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.

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.