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

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 set appropriate goals for employees.
You function well under stress, deadlines, and/or significant workloads.
You align the department's goals with the goals of the organization.
Objectives	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You organize and schedules events, activities, and resources.
You assure [Company] principles are understood, employed & pursued.
You consistently provide me with timely feedback for improving my performance.
You are able to establish realistic goals.
You set long-term and short-term goals.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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 work to identify root causes of performance problems
You set and clearly communicate expectations, performance goals, and measurements to others
You take immediate action on poor performance
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I recognize trends in underlying data.
You are able to correctly assess current/estimated valuations.
I identify potential regulatory risks and strategies to mitigate them.
You identify new business opportunities.
You view problems from a business perspective, opportunity, investment, risks, and anticipated results
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You impress upon others the important aspects of [Company].
You understand the use of [Company] products and services.
You follow existing procedures and processes.
You express loyalty and dedication to [Company] in interactions with others.
You attend [Company] gatherings and social events.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You anticipate potential challenges, develops plan to overcome them and then carries out the plan.
I can initiate the planning process by defining the scope of the project.
You notify staff when the plan is not on schedule.
You ensure that everyone in the department is onboard with the current plan.
You regularly make plans for contingencies.
Global Perspective	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You understand how cultures differ and how these differences impact work behavior.
You understand and appreciate the perspectives offered by others with different cultural backgrounds.
You exemplify the skills of a global worker.
You attend training seminars and conferences to increase skills in working with others globally.
You engage in problem solving with individuals outside of the country.

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.