Feedback - 360 Degree Feedback Survey Sample #6

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 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 and . 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

Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks others for their ideas and opinions.
Is visible and approachable.
Shares past experiences with others as learning opportunities.
Seeks feedback to enhance performance.
Actively seeks feedback from others.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Treats all people fairly and with respect.
Builds open and trusting relationships.
Works to eliminate unnecessary work or barriers that get in others' way.
Visibly supports and encourages diversity in style and background.
Shows by their actions that they trust in the positive intentions of others.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Reflects on what is working and what could be improved.
Encourages others to produce the highest quality work products.
Encourages others to achieve high quality standards.
Holds employees accountable for their quality of work.
Encourages employees to produce the best quality products.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Completes work to given time frame and to budget
Completes work to a high technical standard
Follows-up and takes action when goals are not met to ensure better results in the future.
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Participates in safety training when offered.
Committed to safety in the workplace.
Identifies and addresses safety needs.
Supports safety programs and procedures.
Commits adequate resources toward safety measures.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assists team members by helping them see the other point of view.
Clearly expresses expectations to others.
Helps employees to think through alternative ways to resolve conflict situations.
Deals effectively with employee grievances.
Discusses conflict situations with supervisor.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates goals and objectives to employees.
Looks for opportunities to enhance contributions to the bottom line.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Understands their role within the organization.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages risk taking for developing potential business opportunities.
Encourages dynamic growth opportunities.
Exhibits determination and passion in completion of goals.
Excellent at managing relationships with stakeholders.
Finds unique ways to go around barriers to success.

41. Overall, please rate the effectiveness of .
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
42. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
43. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
44. Additional comments, if any for 's assessment.