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
Implements changes as a result of having listened to employees
Acts decisively in frequently changing and uncertain environment.
Open to the perspectives/viewpoints of others.
Willing to try new ideas.
Encourages others to adopt new procedures.
Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Consciously controls own negative emotions in order to keep team morale up.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Steps away from a situation to process appropriate response.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Critiques own performance and learns from experience as a source of continuous improvement.
Takes initiative for own learning and development.
Is motivated by the desire to be "the best".
Persists until goals are achieved and commitments are met.
Constantly enhances product knowledge through experimentation and play.
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.
Seeks opportunities for continuous learning.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts the views of others.
Asks others for their ideas and opinions.
Seeks feedback to enhance performance.
Open to the suggestions of others.
Is easy to approach with ideas and opinions.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Excellent at managing time.
Helps guide employees with prioritizing tasks.
Maintains focus when handling several problems or tasks simultaneously.
Makes sure that employees understand how their work relates to organizational goals.
Aligns the department's goals with the goals of the organization.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps themselves and others focused on constant improvement.
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
Is planful and organized.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates an atmosphere that supports the open expression of ideas
Provides constructive feedback in a way that fosters acceptance and development.
Is a role model for others
Adapts management style to meet the needs of the individual or situation.
Successfully resolves conflicts and grievances to a win-win solution.
Strategic Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Formulates policies and strategies for addressing the Company's important challenges.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Communicates vision for the department and company.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Maintains knowledge of current trends in the industry.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes plans and follows through.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Works in an organized manner
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Anticipates obstacles and ways to overcome them.

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.