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.
Takes a lot of pride in their work.
Produces high quality work.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages others to adopt new procedures.
Adapts to new organizational structures, policies, or procedures.
Implements changes as a result of having listened to employees
Open to the perspectives/viewpoints of others.
Is open to alternative ways to accomplish goals
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Pursues learning that will enhance job performance.
Pursues self-improvement through continual learning.
Takes the initiative to learn new skills.
Takes charge of their training and skills enhancement.
Shares best practices with others and learns from others.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Contributes to a positive work environment.
Contributes to a positive and fun work environment.
Treats all people fairly and with respect.
Visibly supports and encourages diversity in style and background.
Builds open and trusting relationships.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures team members understand the department goals.
Informs team members how their performance compares to stated goals.
Presents performance feedback in a clear and concise manner.
Makes sure commitments are understood and met.
Prioritizes the work of others.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accurately implements contract provisions.
Enthusiastic about taking on challenging projects.
Has strong technical/computer skills.
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.
Makes sure that I have a clear idea of our group's goals.
Makes sure that team members have a clear idea of our group's goals.
Establishes and documents goals and objectives.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Checks details thoroughly.
Attends to the important details of a job or task.
Avoids stating unclear or conflicting goals.
Is clear about goals that need to be achieved.
Maintains clarity in goals and objectives.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Performs work safely.
Is not afraid to question a potential safety issue observed in the workplace.
Identifies and addresses safety needs.
Keeps accurate safety records.
Participates in safety training as applicable.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops plans to ensure the smooth operation of the supply chain.
Schedules staff based on seasonal needs.
Is good at planning for the "unexpected".
Assigns the right tasks to the right people and holds them accountable.
Delegates role to team members to accomplish 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.