Establishing Focus/Direction - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to participate in a 360-assessment. As part of this process you will need to complete the self-assessment questionnaire below.

In responding to the questions below, think about your experiences over the last 12 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. A report will be shared with you at the conclusion of this project.

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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Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You make sure that employees understand and identify with the team's mission.
You are excellent at managing time.
You maintain focus when handling several problems or tasks simultaneously.
You set appropriate goals for employees.
You help guide employees with prioritizing tasks.
Objectives	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are able to organize work.
You work toward achieving established goals and objectives.
You set long-term and short-term goals.
You are able to establish realistic goals.
You consistently provide me with timely feedback for improving my performance.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You take immediate action on poor performance
You provide ongoing feedback to co-workers on your development progress
You adapt coaching and mentoring approach to meet the style or needs of individuals
You give others development opportunities through project assignments and increased job responsibilities
You set and clearly communicate expectations, performance goals, and measurements to others
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You can effectively interpret and analyze data.
I facilitate business change with minimal resistance.
You respond quickly to customer business inquiries.
I have an understanding of various asset classes and how to interpret balance sheets.
I recognize trends in underlying data.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You impress upon others the important aspects of [Company].
You express loyalty and dedication to [Company] in interactions with others.
You understand how decisions impact other business units beyond your immediate department of work group.
You follow existing procedures and processes.
You understand the "basics" as to how [Company] functions/operates.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I reduce uncertainty in the department through clear planning and schedules.
I determine the allocation of funds based on plans for future development.
You create to-do lists to make sure nothing is missed.
I assess the risks of various strategic plans.
I identify resource requirements that may impact the development of the 5-year plan.
Global Perspective	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are able to listen and understand others and discuss issues in a respectful way.
You understand global systems such as the global economy.
You apply knowledge of overseas markets.
You collaborate with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
You understand and appreciate the perspectives offered by others with different cultural backgrounds.

36. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
37. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
38. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
39. Additional comments, if any for [Participant Name Here]'s assessment.