Goals - 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

Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes and documents goals and objectives.
Achieves goals.
Makes sure that I have a clear idea of our group's goals.
Makes sure that team members have a clear idea of our group's goals.
Sets high expectations and goals; encourages others to support the organization.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets priorities for tasks to be completed.
Keeps track of progress toward the results.
Identifies the steps needed to accomplish the results.
Plans the best course of action to achieve the goal.
Helps others when free-time is available.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Looks for ways to improve work processes and procedures.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand current job responsibilities.
Analyzes processes to determine areas for improvement.
Looks for ways to expand and learn new job 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
Encourages employees to take courses relevant to their job.
Seeks opportunities for continuous learning.
Seeks opportunities for professional development.
Allows employees to fully participate in employee training and professional development.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks to obtain consensus or compromise.
Attempts to persuade others rather than simply control them.
Understanding what others need.
Able to express own goals and needs.
Has excellent influencing/negotiating skills.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes a lot of pride in their work.
Produces high quality work.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
Develops strategies to comply with established regulations.
Coordinates the execution of compliance strategies across departments.
Develops a confidential reporting system to enable employees to anonymously report safety violations.
Establishes a governance body to monitor and guide the organization's activities.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Strives for win/win solutions
Shows appreciation for other's work.
Respects other members of the team/department.
Works diligently to assist customers in finding the right products.
Assists employees that need help.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responds to feedback from clients.
Makes sure their interests are aligned with the client's interests.
Anticipates problems that the client may encounter.
Regularly receives positive feedback from clients.
Actively listens to concerns from clients.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Motivates and encourages employees to be successful in their jobs.
Allows employees the opportunity to take time off when needed.
Gives employees input into the decision making process.
Recognizes the contributions that others make to the department.
Allows employees to make their own decisions.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Promotes a culture that values diverse perspectives.
Attempts to accommodate vital interests of those who felt alienated or suffered injustice.
Prefers to resolve conflicts through negotiation rather than coersion.
Persuades others to accept personal transformation.
Identifies the root sources of conflict.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Reinforces and rewards employees for accomplishing necessary goals.
Recognizes the abilities and skills of self and others
Says "thank you" to show appreciation for work of others.
Readily shares credit and gives others opportunity for visibility.
Recognizes individuals for a specific outstanding achievement.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Exhibits determination and passion in completion of goals.
Devotes a certain amount of time and effort to developing new business opportunities.
Finds unique ways to go around barriers to success.
Maintains a high level of energy to respond to demands of the job.
Seeks and utilizes mentors to help guide professional development.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates effective logistics plans to achieve high operational efficiency.
Prioritizes tasks based on urgency/need.
Allows input from others for the 5-year plan.
Works in an organized manner
Able to look ahead (beyond the present) when addressing the work/needs of the department.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
72. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
73. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
74. Additional comments, if any for [Participant Name Here]'s assessment.