Information Technology - 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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Information Technology	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Manages data integration across platforms to ensure consistent, high-quality information for operational and strategic use.
Writes clean, efficient, well-structured code using appropriate languages, frameworks, and tools.
Knows how to conduct risk severity level assessments.
Translates business needs into clear, actionable technical requirements.
Reviews incident data to identify systemic issues.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
My department implements my creative ideas.
Invites others to dream bigger and think differently.
Uses creativity to streamline workflows and reduce friction.
Creates an environment that supports creativity and innovation.
Finds creative ways to meet the needs of patients.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Breaks down the feedback into manageable components, to help employees better understand the actions needed to improve.
Seeks feedback to enhance performance.
Uses feedback as a catalyst for development, aligning suggestions with role expectations and organizational goals.
Accepts the views of others.
Proactively gathers and integrates feedback from diverse sources.
Cultural Awareness	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates safe spaces for employees to share cultural perspectives and experiences.
Effective in working with individuals with a variety of cultural backgrounds.
Helps other employees to become more culturally sensitive.
Acknowledges their own biases in cultural interactions.
Seeks out opportunities to learn about different cultures and integrates that knowledge into leadership practices.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
...Overall Performance
...Produce Quality
Sets a high standard for job performance.
Able to organize work.
Has great overall performance
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Listens carefully to other team members.
Demonstrates unwavering persistence during challenging projects.
Takes the time to listen to the team's ideas.
Inspires team members to invest their abilities in advancing team priorities.
Demonstrates an understanding of other team member's viewpoints.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Understands and applies business and financial principles.
Creates unique strategies that impact the Company.
Able to align resources to meet the business needs of the company.
Converses with customers and clients to get a better insight into their business needs.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a highly respected individual in the company.
Appreciates the extra efforts made by coworkers.
Anticipates the concerns of other employees.
Communicates initiatives in a clear and actionable manner to employees.
Attends to both the content and the context of what was being said.

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

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

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