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 functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
Is planful and organized.
Takes a lot of pride in their work.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Will pivot strategies, operations, or processes in real-time to meet new challenges or seize new opportunities.
Capable of adjusting to necessary modifications in the work environment.
Dedicated to evolving and enhancing business processes, which demonstrates flexibility.
Able to produce goods and services across a wide spectrum of business needs.
Accommodates adaptable scheduling.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Grasps new ideas, concepts, technical, or business knowledge.
Pursues learning that will enhance job performance.
Pursues self-improvement through continual learning.
Takes the initiative to learn new skills.
Views setbacks as opportunities to learn from.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works to eliminate unnecessary work or barriers that get in others' way.
Builds open and trusting relationships.
Visibly supports and encourages diversity in style and background.
Shows by their actions that they trust in the positive intentions of others.
Treats all people fairly and with respect.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Clearly articulates the performance requirements for the position.
Ensures that team goals are met 85 percent of the time.
Provides employees with necessary resources to accomplish their goals.
Initiates a performance improvement plan for underperforming subordinates.
Ensures team members receive rewards for positive performance accomplishments.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has strong technical/computer skills.
Strong organizational skills to keep the workspace and department in order
Able to develop, justify and present a budget.
Accurately implements contract provisions.
Takes responsibility for decisions.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Goal Setting
Sets high expectations and goals; encourages others to support the organization.
Achieves goals.
Understands & contributes to development of strategic goals.
Makes sure that team members have a clear idea of our group's goals.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses appropriate grammar and tense in communications.
Clearly defines work objectives for employees.
Adjusts communication methods to the needs of the audience.
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
Participates in safety training when offered.
Mitigates hazards and safety issues that arise.
Ensures compliance with safety regulations.
Participates in safety training when available.
Creates accurate and effective measures of safety.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prioritizes plans based on a cost/benefit analysis.
Creates plans to handle complex, multi-faceted projects.
Initiates the planning process by defining the scope of the project.
Anticipates the impacts of strategic plans.
Establishes a course of action for self and others to accomplish specific goals.

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.