Feedback - 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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Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters a culture of dialogue and performance insights at all levels which is essential for effective feedback in crucial interactions between employees and their managers.
Equips managers with essential tools, training, and support to guarantee feedback is constructive, timely, and actionable.
Seeks a more comprehensive understanding of abilities and identifies specific areas for improvement.
Offers guidance to assist employees in adjusting their behaviors to enhance performance.
Bases feedback on observable/observed behaviors or specific instances.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Approaches failures as stepping stones toward improvement.
Proactively seeks feedback to refine outcomes, not out of obligation but a desire to elevate quality.
Enjoys working for [Company]
Speaks with civility and kindness, even under pressure or during disagreement.
Presents work with an "I stand behind this" mentality, demonstrating authenticity and personal accountability.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyzes quality improvement plans and initiatives.
Views quality issues as a system failure rather than an individual failure.
Effectively coordinates with other departments to improve quality.
Engages and leads staff in implementation of new quality procedures.
Systematically and thoroughly inspects products for consistency in meeting specifications.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages goal-setting that balances difficulty and achievability.
Keeps moving forward and stays focused on objectives despite setbacks.
Embraces bold, well-considered decisions to unlock new opportunities and growth.
Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
Finds viable solutions despite obstacles.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies and addresses safety needs.
Develops a strong safety culture.
Is not afraid to question a potential safety issue observed in the workplace.
Encourages others to work safely.
Ensures compliance with safety regulations.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes roles and responsibilities of team members.
Frames conflict resolution as a shared goal, helping parties see mutual benefit and common ground.
Prefers to resolve conflicts through negotiation rather than coersion.
Demonstrates credibility and trustworthiness, making others more receptive to difficult feedback or compromise.
Encourages both sides to make compromises to resolve the conflict.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Undertakes a SWOT analysis to determine the best strategy to move forward.
Able to decline a poor strategy by proposing alternate strategies.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Creates a strategy to achieve departmental objectives.
Creates strategic objectives to increase revenue and profit margins.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages dynamic growth opportunities.
Devotes a certain amount of time and effort to developing new business opportunities.
Encourages risk taking for developing potential business opportunities.
Exhibits determination and passion in completion of goals.
Can work effectively in an environment of uncertainty.

41. Overall, please rate the effectiveness of [Participant Name Here].
    

    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 [Participant Name Here]'s assessment.