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

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Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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.
Is planful and organized.
Produces high quality work.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Focuses on continuous improvement strategies.
Is flexible to manage uncertain changes in the financial landscape.
Demonstrates flexibility in thoughts and actions.
Fosters a culture where diverse perspectives are valued allowing the team to adapt more easily to changes and draw on a wider range of ideas and solutions.
Acts decisively in frequently changing and uncertain environment.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks opportunities to grow in skills and knowledge.
Pursues self-improvement through continual learning.
Sets relevant learning objectives and goals.
Grasps new ideas, concepts, technical, or business knowledge.
Shares best practices with others and learns from others.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Treats all people fairly and with respect.
Is gracious and professional in their interactions with others.
Builds open and trusting relationships.
Shows by their actions that they trust in the positive intentions of others.
Visibly supports and encourages diversity in style and background.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes standards for expected performance.
Assigns tasks and responsibilities and holds employees accountable for actions.
Addresses performance issues as soon as possible.
Records production quotas on a daily basis.
Is consistent in disciplinary/corrective actions.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Strong organizational skills to keep the workspace and department in order
Accurately implements contract provisions.
Has strong technical/computer skills.
High attention to detail.
Completes reports on-time.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure that team members have a clear idea of our group's goals.
Makes sure that I have a clear idea of our group's goals.
Goal Setting
Sets high expectations and goals; encourages others to support the organization.
Conducts timely follow-up; keeps others informed on a need to know basis.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Clearly explains the vision and goals of the company.
Maintains clarity in goals and objectives.
Writes clear job descriptions for positions in the organization.
Communicates with clarity and efficiency.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is aware of OSHA safety guidelines.
Encourages others to work safely.
Mitigates hazards and safety issues that arise.
Supports safety programs and procedures.
Commits adequate resources toward safety measures.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to follow the plan set in place.
Determines what supplies/equipment will be needed for the department.
Is able to clearly articulate the plan for the department/district.
Creates a timeline for events and monitors progress.
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.