Goals - 360 Degree Feedback Survey Sample #6

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 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 and . 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 established goals.
Achieves goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Goal Setting
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does not become distracted by non-issues or interruptions.
Works toward achievement of goals even when confronted with obstacles.
Encourages a high-energy, fun work environment and coaches others on how to do the same
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Provides clear expectations for employees.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Looks for ways to expand current job responsibilities.
Promotes training and development opportunities to enhance job performance.
Open to the suggestions from others.
Looks for ways to improve work processes and procedures.
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
Contributing fully to the extent of their skills
Allows employees to fully participate in employee training and professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Encourages employees to take courses relevant to their job.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates effectively with others.
Persuades others to consider alternative points of view.
Has excellent influencing/negotiating skills.
Understanding what others need.
Seeks to obtain consensus or compromise.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is planful and organized.
Produces high quality work.
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
Keeps themselves and others focused on constant improvement.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures regulations are followed as required.
Maintains a state of readiness to address new and changing regulations and procedures.
Understands and adheres to internal and external regulations.
Understands the applicable regulations and laws that impact our business.
Explains regulations and procedures to others as required.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a role model for others
Uses tact, compassion, and sensitivity in interactions with others.
Anticipates the concerns of other employees.
Successfully resolves conflicts and grievances to a win-win solution.
Strives for win/win solutions
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Forms strong client relationships
Is pro-active in dealing with clients and addressing their needs.
Satisfies client needs.
Ensures client commitments and requirements are met or exceeded
Looks for opportunities that have a positive impact on Clients.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Avoids micromanaging their employees.
Provides support and resources needed to accomplish goals.
Distributes the workload to subordinates.
Allows individuals to be responsible for their decisions.
Sets clear goals for others to accomplish.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assists team members by helping them see the other point of view.
Identifies and takes steps to prevent potential confrontations.
Deals effectively with employee grievances.
Tries to understand others' point of view before making judgments
Helps employees to think through alternative ways to resolve conflict situations.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Says "thank you" to show appreciation for work of others.
Recognizes individuals for a specific outstanding achievement.
Makes people around them feel appreciated and valued.
Is sincerely interested in the suggestions of co-workers
Offers recognition in a timely manner.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages risk taking for developing potential business opportunities.
Devotes a certain amount of time and effort to developing new business opportunities.
Able to adapt the department to changing business demands and climate.
Excellent at managing relationships with stakeholders.
Encourages dynamic growth opportunities.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to identify the needs of the department before a major change.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Works in an organized manner
Delegates role to team members to accomplish goals.

71. Overall, please rate the effectiveness of .
    

    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 's assessment.