Excellence - 360 Degree Feedback Survey Sample #6

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 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 and . 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
Produces high quality work.
Is planful and organized.
Demonstrates the functional or technical skills necessary to do their job.
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Open to the perspectives/viewpoints of others.
Works effectively during periods of change.
Encourages others to adopt new procedures.
Can handle changes without complaining.
Identifies new opportunities to achieve goals
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Shares best practices with others and learns from others.
Grasps new ideas, concepts, technical, or business knowledge.
Sets relevant learning objectives and goals.
Builds on their strengths while addressing their weaknesses.
Pursues self-improvement through continual learning.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Treats all people fairly and with respect.
Shows by their actions that they trust in the positive intentions of others.
Builds open and trusting relationships.
Visibly supports and encourages diversity in style and background.
Works to eliminate unnecessary work or barriers that get in others' way.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides employees with necessary resources to accomplish their goals.
Obtains commitment from employees regarding completion of tasks.
Recognizes and values good performance.
Sets specific and measurable goals for others and follows through to completion.
Uses timely and appropriate corrective/disciplinary actions.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to develop, justify and present a budget.
Takes responsibility for decisions.
Implements and uses performance measures.
Completes reports on-time.
Accurately implements contract provisions.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure that I have a clear idea of our group's goals.
Sets high expectations and goals; encourages others to support the organization.
Makes sure that team members have a clear idea of our group's goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
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.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Avoids creating ambiguity or mixed messages.
Avoids stating unclear or conflicting goals.
Checks details thoroughly.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies predictable hazards in the workplace.
Creates accurate and effective measures of safety.
Ensures that all supervisors are aware of regulatory and compliance measures.
Ensures compliance with safety regulations.
Participates in safety training as applicable.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Anticipates obstacles and ways to overcome them.
Delegates role to team members to accomplish goals.
Able to identify the needs of the department before a major change.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Able to look ahead (beyond the present) when addressing the work/needs of the department.

51. Overall, please rate the effectiveness of .
    

    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 's assessment.