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
I align resource planning with departmental goals and organizational priorities.
You seek to understand any external factors that might impact projects being worked on by the department.
You select specific strategies and design options to help the organization achieve success within a competitive environment.
I encourage employees to work together for the completion of tasks.
You guide the team's activities toward completion of the goal.
Objectives	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You effectively organize resources and plans
You organize and schedules events, activities, and resources.
You are able to organize work.
You are able to establish realistic goals.
You establish goals and objectives.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You give others development opportunities through project assignments and increased job responsibilities
You provide ongoing feedback to co-workers on your development progress
You work to identify root causes of performance problems
You take immediate action on poor performance
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 meet with customers to gain insight into their core needs and how best to strategically serve them.
I describe and summarize data.
I recognize the potential business impact of specific risks.
You understand the costs, profits, markets, and added value of issues.
You keep informed of current income and expenses.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You paint a compelling picture of the company's future and inspire others to work toward it.
You build trust by being transparent, consistent, and approachable in communication.
You encourage adapting and experimentation to deal with new issues facing the company.
You create a culture that make employees feel proud and excited to be part of the team.
You connect individual roles to the broader mission of the organization, reinforcing a sense of impact.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I develop plans used to accomplish urgent or critical tasks.
I am able to stay organized and focused using excellent planning skills.
I know how to create effective project plans.
You set up and monitor timeframes and plans
I develop plans to help manage expectations and project demands.
Global Perspective	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You have positive interactions with individuals from different cultures and backgrounds.
You are able to work with individuals having different backgrounds and cultures.
You can effectively deliver presentations to international clients.
You facilitate open communication with individuals from other countries.
You build working relationships with others across cultures.

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.