Excellence - 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

Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps themselves and others focused on constant improvement.
Demonstrates the analytical skills to do their job.
Takes a lot of pride in their work.
Can be counted on to add value wherever they are involved.
Produces high quality work.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Selects strategies according to the demands of the situation.
Flexible and resilient in addressing critical incidents.
Accommodates adaptable scheduling.
Adapts the onboarding experience to meet the unique needs of each new employee.
Able to make changes to their leadership style after receiving constructive feedback through the performance review.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Builds on their strengths while addressing their weaknesses.
Is open to new ideas and concepts.
Seeks opportunities to grow in skills and knowledge.
Pursues self-improvement through continual learning.
Grasps new ideas, concepts, technical, or business knowledge.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Visibly supports and encourages diversity in style and background.
Builds open and trusting relationships.
Shows by their actions that they trust in the positive intentions of others.
Contributes to a positive and fun work environment.
Treats all people fairly and with respect.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Measures performance of goals and objectives.
Addresses poor performance sooner rather than later.
Ensures employees understand their performance expectations.
Stresses the importance of meeting production quotas.
Revises the OKRs required for the position on a quarterly basis.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Enthusiastic about taking on challenging projects.
Has strong technical/computer skills.
Strong organizational skills to keep the workspace and department in order
Completes reports on-time.
High attention to detail.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Achieves established goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Sets high expectations and goals; encourages others to support the organization.
Establishes and documents goals and objectives.
Achieves goals.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Attends to the important details of a job or task.
Avoids creating ambiguity or mixed messages.
Clearly explains responsibilities to individuals.
Uses appropriate grammar and tense in communications.
Avoids stating unclear or conflicting goals.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is not afraid to question a potential safety issue observed in the workplace.
Works to implement corrective safety measures.
Points out behaviors in others that may be unsafe.
Committed to safety in the workplace.
Keeps accurate safety records.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to clearly articulate the plan for the department/district.
Reorders the schedule of events to maximize attendance/efficiency.
Determines the steps required for completion of a task.
Involves relevant coworkers in the development of the plan.
Develops a detailed plan outlining tasks, resources, timelines, and deliverables.

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

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

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