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

Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks feedback to enhance performance.
Open to the suggestions of others.
Looks to others for input.
Considers other's opinion and suggestions.
Is visible and approachable.
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.
Is gracious and professional in their interactions with others.
Visibly supports and encourages diversity in style and background.
Treats all people fairly and with respect.
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
Encourages others to produce the highest quality work products.
Corrects issues in a timely manner.
Holds employees accountable for their quality of work.
Always strives to produce the highest quality work products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets ambitious standards of performance.
Completes work promptly and efficiently.
Is flexible in adjusting priorities to meet the demands of changing situations.
Works at a quick pace to complete a high volume of work.
Takes reasonable risks to achieve desired results.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Performs work safely.
Identifies and addresses safety needs.
Works to implement corrective safety measures.
Supports safety programs and procedures.
Develops a sustainable safety culture.
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.
Helps employees to think through alternative ways to resolve conflict situations.
Discusses conflict situations with supervisor.
Tries to understand others' point of view before making judgments
Deals effectively with employee grievances.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Understands & contributes to development of strategic goals.
Communicates goals and objectives to employees.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages risk taking for developing potential business opportunities.
Excellent at managing relationships with stakeholders.
Finds unique ways to go around barriers to success.
Encourages dynamic growth opportunities.
Is comfortable operating 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.