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

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Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assigns responsibilities to individuals for creating innovative ideas/products.
Modifies innovative initiatives to capitalize on strengths and mitigate potential risks.
Ensures the workforce maintains cutting-edge technical competencies to support continuous innovation and growth.
Develops innovative products or services.
Develops several approaches or solutions to a problem.
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.
Overcomes obstacles to continue working toward goals.
Achieves high levels of performance.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively delivers presentations to teams, large groups, and diverse audiences
Clarifies problems logically, simplifying complex matters into digestible parts.
Shares important information with others.
Articulates ideas and emotions clearly to others.
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.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts personal responsibility for their actions.
Maintains honesty and transparency in all communications.
Consistently follows through on commitments and promises.
Holds employees accountable through regular performance reviews.
Takes responsibility for seeing the project through to completion.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does what was promised.
Accepts responsibility for mistakes.
Establishes relationships of trust, honesty, fairness, and integrity.
Follows tasks to completion.
Maintains strong relationships with others.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for things that go wrong
Sets an example for others to follow
Is ready to offer help
Makes you feel enthusiastic about your work
Delegate tasks effectively
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Acts as a resource without removing individual responsibility.
Is a person you can trust.
...takes personal responsibility for results.
Sets high personal standards of performance.
Holds herself / himself accountable to goals / objectives
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Reinforces and rewards employees for accomplishing necessary goals.
Says "thank you" to show appreciation for work of others.
Readily shares credit and gives others opportunity for visibility.
Recognizes team members who offer a significant contribution to a project.
Makes people around them feel appreciated and valued.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Exhibits determination and passion in completion of goals.
Able to adapt the department to changing business demands and climate.
Takes the initiative to complete tasks.
Maintains a high level of energy to respond to demands of the job.
Finds unique ways to go around barriers to success.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adept at navigating within the culture of the department.
Able to use corporate politics to advance department objectives.
Effective in communicating with others within the organization.
Understands the current organizational culture.
Understands departmental policies and procedures.

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.