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

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Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure that I have a clear idea of our group's goals.
Understands & contributes to development of strategic goals.
Establishes and documents goals and objectives.
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves goals.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Stays focused on solving problems and getting work done.
Determines the proper order for completion of the tasks.
Creates measures of performance to track progress.
Makes changes to the plans if it will result in increased output.
Encourages employees to give 100% to achieving high results.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Open to the suggestions from others.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand and learn new job skills.
Promotes training and development opportunities to enhance job performance.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Encourages employees to take courses relevant to their job.
Seeks opportunities for professional development.
Allows employees to fully participate in employee training and professional development.
Contributing fully to the extent of their skills
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks to obtain consensus or compromise.
Develops a good rapport with others.
Has excellent influencing/negotiating skills.
Persuades others to consider alternative points of view.
Ensures stakeholders are involved in the decision making process.
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.
Keeps themselves and others focused on constant improvement.
Can be counted on to add value wherever they are involved.
Produces high quality work.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures operations meet government and industry requirements/standards.
Reviews documentation and procedures manuals to ensure regulatory compliance.
Creates and administers training initiatives on compliance and regulations.
Implements regulatory compliance strategies.
Keeps up-to-date with legislation affecting employees.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Offers constructive criticism to have a positive impact on performance.
Responds quickly to inquiries from potential customers.
Anticipates the concerns of other employees.
Embraces the differences in individuals that comprise the team.
Honesty and integrity are core tenets of interpersonal relationships.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delivers customized solutions for each client.
Their activities reflect a strong focus on the client relationship.
Provides training to others on how to improve client service.
Identifies opportunities that will enhance the client's experience.
Meets with clients on a regular basis.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gives responsibility for making important decisions to employees.
Recognizes the accomplishments of employees when they complete important assignments.
Supports the decisions of others even if those decisions may sometimes lead to mistakes.
Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
Sets goals to allow the employee to have more autonomy over their work.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Influences attitudes, beliefs, and behaviors in a way that fosters resolution and cooperation.
Strives to ensure that all basic needs are met, resulting in mutual benefits for both parties.
Promotes mutual compromise to achieve conflict resolution.
Seeks to maintain positive relationships with coworkers.
Addresses contentious issues earlier rather than later.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Readily shares credit and gives others opportunity for visibility.
Offers recognition in a timely manner.
Reinforces and rewards employees for accomplishing necessary goals.
Recognizes individuals for a specific outstanding achievement.
Finds opportunities to recognize others.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Exhibits determination and passion in completion of goals.
Balances risks and rewards when making decisions.
Devotes a certain amount of time and effort to developing new business opportunities.
Encourages dynamic growth opportunities.
Understands the processes and various stages of business development.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops a strategic plan to reduce costs in the department.
Creates to-do lists to make sure nothing is missed.
Effectively uses logistics planning to reduce supply delays.
Sets up and monitors timeframes and plans
Accomplishes major tasks by breaking them into manageable pieces.

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.