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
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Can be counted on to add value wherever they are involved.
Is planful and organized.
Demonstrates the functional or technical skills necessary to do their job.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adapts training delivery to enhance effectiveness and create an inclusive environment, boosting team cohesion and productivity.
Identifies new opportunities to achieve goals
Accommodates the needs of employees as best as possible when requests for time off are made.
Fosters an environment that prioritizes adaptability, ongoing enhancement, and creative thinking.
Able to change the workflow as needed to facilitate changes in regulations or policies.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Shares best practices with others and learns from others.
Participates in regular training offered.
Seeks opportunities to grow in skills and knowledge.
Sets relevant learning objectives and goals.
Takes charge of their training and skills enhancement.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Speaks with confidence and clarity about the team's goals and outcomes, reflecting pride in their work and leadership.
Volunteers willingly for assignments.
Remains positive even when working with individuals who have poor attitudes.
Builds and maintains positive relationships with peers.
Shows up each day with a commitment to exceed expectations, not just meet them.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets long and short term goals.
Measures job performance of subordinates against defined goals and objectives.
Ensures employees understand their performance expectations.
Creates several measures of success for each goal.
Makes sure commitments are understood and met.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates effectively both in writing and verbally.
Prepares payroll and tax forms/reports.
Conducts research, compile data, and prepare papers for consideration and presentation by executives, committees, and boards of directors.
Handles difficult calls with courtesy and respect.
Creates labeled folders, indexes, or searchable databases.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Informs employees of their progress toward goal completion.
Sets strategic goals that prioritize innovation and research and development.
Sets high expectations and goals; encourages others to support the organization.
Complies with timelines for goal attainment.
Defines goals on a path of ongoing improvement.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is clear about goals that need to be achieved.
Communicates ideas and facts clearly and effectively in writing.
Communicates with clarity and efficiency.
Makes sure employees understand why they were given certain assignments.
Clarifies problems and their causes to help employees correct them.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps accurate safety records.
Encourages others to work safely.
Points out behaviors in others that may be unsafe.
Ensures compliance with safety regulations.
Supports safety programs and procedures.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops proper plans to ensure seamless flow of materials through logistics.
Develops strategic plans for the company/organization.
Anticipates resources needed to successfully implement a plan or project.
Reduces uncertainty in the department through clear planning and schedules.
Always has a "Plan-B" ready if needed.

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.