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.
Is planful and organized.
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Produces high quality work.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can handle changes without complaining.
Implements changes as a result of having listened to employees
Effective in incorporating new ideas.
Encourages others to adopt new procedures.
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.
Builds on their strengths while addressing their weaknesses.
Seeks opportunities to grow in skills and knowledge.
Improves on their skill sets.
Participates in regular training offered.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Builds open and trusting relationships.
Treats all people fairly and with respect.
Works to eliminate unnecessary work or barriers that get in others' way.
Visibly supports and encourages diversity in style and background.
Contributes to a positive work environment.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures team members receive rewards for positive performance accomplishments.
Informs team members how their performance compares to stated goals.
Establishes measures of performance.
Encourages employees to take additional training in areas where they had low performance scores.
Acknowledges employee contributions that support the bottom line.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accurately implements contract provisions.
Strong organizational skills to keep the workspace and department in order
Completes reports on-time.
Able to develop, justify and present a budget.
Implements and uses performance measures.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Achieves goals.
Understands & contributes to development of strategic goals.
Achieves established goals.
Makes sure that I have a clear idea of our group's goals.
Goal Setting
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is clear about the roles and duties of team members.
Uses appropriate grammar and tense in communications.
Makes sure employees understand why they were given certain assignments.
Seeks to reduce ambiguity in messaging and documents.
Is clear about goals that need to be achieved.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Committed to safety in the workplace.
Encourages others to work safely.
Keeps accurate safety records.
Develops a culture of safety.
Participates in safety training when available.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Has developed an effective strategic plan.
Effectively uses logistics planning to reduce supply delays.
Plans for future staffing needs.
Prioritizes plans based on a cost/benefit analysis.

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.