Flexibility - 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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Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adapts to different settings, tasks, and challenges with ease.
Accommodates the needs of employees as best as possible when requests for time off are made.
Demonstrates adaptability in innovative thought processes.
Introduces new products or services.
Dedicated to evolving and enhancing business processes, which demonstrates flexibility.
Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Does not allow own emotions to interfere with the performance of others.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Steps away from a situation to process appropriate response.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Enhances value to the company through additional training and development.
Takes advantage of training opportunities when they arise.
Creates an environment that supports personal development and exploration.
Is committed to enhancing their own knowledge and skills.
Exhibits willingness to upgrade skills through additional training and education.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep themselves up-to-date of technical/professional issues
Contributing fully to the extent of their skills
Encourages employees to take courses relevant to their job.
Allows employees to fully participate in employee training and professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Considers other's opinion and suggestions.
Is easy to approach with ideas and opinions.
Is visible and approachable.
Asks others for their ideas and opinions.
Accepts the views of others.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Aligns the department's goals with the goals of the organization.
Sets appropriate goals for employees.
Helps guide employees with prioritizing tasks.
Makes sure that employees understand and identify with the team's mission.
Maintains self-control when personally criticized.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates the analytical skills to do their job.
Is planful and organized.
Produces high quality work.
Demonstrates the functional or technical skills necessary to do their job.
Takes a lot of pride in their work.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Values the opinions of others.
Gives good advice and suggestions to coworkers.
Communicates well at all levels of the organization.
Values the input from coworkers.
Willing to overlook personal differences and focus on completing the task at hand.
Strategic Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyzes records and reports to obtain insight into potential issues and trends.
Analyzes unique issues or problems impacting the Company.
Observes employees at work to get better insight into the issues they are dealing with.
Pursues strategic alliances with valued partners.
Creates a vision for the organization based on insights gathered from other companies in the industry.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has developed an effective strategic plan.
Notifies staff when the plan is not on schedule.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Establishes a course of action for self and others to accomplish specific goals.
Open to input from others into the plan for the project.

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.