Innovation - 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

Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Finds creative ways to get things done with limited resources.
Fosters a creative and innovative work environment.
Takes risks to advance important ideas.
Offers constructive improvements to existing systems.
Creates improved methods or solutions for meeting goals and objectives.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides clear expectations for employees.
Directs team in prioritizing daily work activities
Does not become distracted by non-issues or interruptions.
Explains the "whys" behind organizational objectives
Inspires and motivates co-workers to be productive and energetic at work
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gives clear and convincing presentations.
Communicates effectively with colleagues and customers
Communicates effectively with all levels of the organization.
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Asks follow-up questions as needed.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Defines roles, rights, and responsibilities of employees.
Is aware of problems or issues that may affect the organization.
Tackles issues head on and finds solutions.
Can be counted on to do what they say they are going to do.
Develops goals and establishes objective measures of success.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Follows tasks to completion.
Demonstrates sincerity in actions with others.
Fosters a high standard of ethics and integrity.
Demonstrates honesty and truthfulness at all times.
Accepts responsibility for mistakes.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delegate tasks effectively
Takes responsibility for things that go wrong
Sets an example for others to follow
Is ready to offer help
Keep staff informed about what is happening in the company
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
...takes personal responsibility for results.
Sets a good example
Acts as a resource without removing individual responsibility.
Is a person you can trust.
Holds herself / himself accountable to goals / objectives
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Readily shares credit and gives others opportunity for visibility.
Recognizes the abilities and skills of self and others
Makes people around them feel appreciated and valued.
Reinforces and rewards employees for accomplishing necessary goals.
Is sincerely interested in the suggestions of co-workers
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Balances risks and rewards when making decisions.
Finds unique ways to go around barriers to success.
Is comfortable operating in an environment of uncertainty.
Encourages dynamic growth opportunities.
Maintains a high level of energy to respond to demands of the job.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adept at navigating within the culture of the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Gets things done through the department.
Understands departmental policies and procedures.
Anticipates problems that may affect the department.

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

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

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