Innovation - 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

Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyzes current procedures and identifies opportunities for improvement.
Challenges current procedures to develop other alternatives.
Offers constructive improvements to existing systems.
Implements best practices within the department.
Builds upon the ideas and solutions of others.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides clear expectations for employees.
Works toward achievement of goals even when confronted with obstacles.
Does not become distracted by non-issues or interruptions.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Directs team in prioritizing daily work activities
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Communicates effectively with all levels of the organization.
Able to deliver presentations.
Coaches others and provides feedback on the use of different oral communication styles for different audiences
An effective listener who is responsive to information needs.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can be counted on to do what they say they are going to do.
Is someone you can trust.
Keeps supervisor informed of recent events.
Takes responsibility for results.
Takes ownership of mistakes and learns from them.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does what was promised.
Protects the integrity and confidentiality of information
Demonstrates honesty and truthfulness at all times.
Follows tasks to completion.
Develops trust and confidence from others.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets an example for others to follow
Delegate tasks effectively
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
Is ready to offer help
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works in a way that makes others want to work with her/him.
Behavior is ethical and honest.
...takes personal responsibility for results.
Acts as a resource without removing individual responsibility.
Sets a good example.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes the abilities and skills of self and others
Makes people around them feel appreciated and valued.
Recognizes team members who offer a significant contribution to a project.
Is sincerely interested in the suggestions of co-workers
Recognizes individuals for a specific outstanding achievement.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Excellent at managing relationships with stakeholders.
Encourages risk taking for developing potential business opportunities.
Exhibits determination and passion in completion of goals.
Has a strategic awareness on how to promote the organization.
Encourages dynamic growth opportunities.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to explain departmental policies and procedures to others.
Adept at navigating within the culture of the department.
Anticipates problems that may affect the department.
Effective in communicating with others within the organization.
Able to deal with sensitive issues with tact and professionalism.

51. Overall, please rate the effectiveness of .
    

    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 's assessment.