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
Goal Setting
Establishes and documents goals and objectives.
Achieves established goals.
Makes sure that I have a clear idea of our group's goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages a high-energy, fun work environment and coaches others on how to do the same
Directs team in prioritizing daily work activities
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Does not become distracted by non-issues or interruptions.
Stays focused on meeting the needs of customers.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to improve work processes and procedures.
Promotes training and development opportunities to enhance job performance.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Analyzes processes to determine areas for improvement.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks opportunities for continuous learning.
Encourages employees to take courses relevant to their job.
Keep themselves up-to-date of technical/professional issues
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
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
Understanding what others need.
Ensures stakeholders are involved in the decision making process.
Develops a good rapport with others.
Persuades others to consider alternative points of view.
Seeks to obtain consensus or compromise.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Produces high quality work.
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps informed of various regulations and procedures.
Addresses issues quickly before they develop into major problems.
Understands the applicable regulations and laws that impact our business.
Understands and adheres to internal and external regulations.
Maintains a state of readiness to address new and changing regulations and procedures.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to work with individuals at all levels of the Company.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Strives for win/win solutions
Effectively manages conflicts by dealing with them directly and immediately
Values the opinions of others.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Forms strong client relationships
Looks for opportunities that have a positive impact on Clients.
Maintains strong relationships with clients.
Ensures client commitments and requirements are met or exceeded
Obtains feedback to ensure client needs are being met.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to solve problems on their own.
Sets clear goals for others to accomplish.
Provides support and resources needed to accomplish goals.
Distributes the workload to subordinates.
Allows individuals to be responsible for their decisions.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Deals effectively with employee grievances.
Assists team members by helping them see the other point of view.
Clearly expresses expectations to others.
Discusses conflict situations with supervisor.
Tries to understand others' point of view before making judgments
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Finds opportunities to recognize others.
Makes people around them feel appreciated and valued.
Recognizes the abilities and skills of self and others
Recognizes individuals for a specific outstanding achievement.
Compliments other people when they do good work
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Excellent at managing relationships with stakeholders.
Exhibits determination and passion in completion of goals.
Able to adapt the department to changing business demands and climate.
Finds unique ways to go around barriers to success.
Encourages risk taking for developing potential business opportunities.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Anticipates obstacles and ways to overcome them.
Works in an organized manner
Delegates role to team members to accomplish goals.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
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.