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

Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Open to the perspectives/viewpoints of others.
Willing to try new ideas.
Encourages others to adopt new procedures.
Can handle changes without complaining.
Acts decisively in frequently changing and uncertain environment.
Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyzes interpersonal problems instead of reacting to them.
Does not allow own emotions to interfere with the performance of others.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Uses patience and self-control in working with customers and associates.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates an environment that supports personal development and exploration.
Demonstrates through personal behavior the commitment to high standards of performance.
Demonstrates a willingness to participate in continuing education courses.
Enhances value to the company through additional training and development.
Is committed to enhancing their own knowledge and skills.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Quickly acquire and apply new knowledge and skills when needed
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for continuous learning.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks feedback to enhance performance.
Asks others for their ideas and opinions.
Shares past experiences with others as learning opportunities.
Actively seeks feedback from others.
Considers other's opinion and suggestions.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure that employees understand how their work relates to organizational goals.
Functions well under stress, deadlines, and/or significant workloads.
Aligns the department's goals with the goals of the organization.
Maintains focus when handling several problems or tasks simultaneously.
Excellent at managing time.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Produces high quality work.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is trusted by peers and co-workers; others are willing to confide in him/her
Is open and approachable
Comes across as credible, knowledgeable and sincere
Strives for win/win solutions
Effectively manages conflicts by dealing with them directly and immediately
Strategic Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates vision for the department and company.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Formulates policies and strategies for addressing the Company's important challenges.
Analyzes records and reports to obtain insight into potential issues and trends.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prioritizes tasks and allocates resources.
Assesses the risks of various strategic plans.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Is able to follow the plan set in place.
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.