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
Investigates all types of innovations.
Encourages innovation from all levels of employees.
Plays a pivotal role in fostering an environment where radical innovation can flourish and lead to major breakthroughs.
Fine-tunes innovative strategies to maximize resource utilization and achieve desired outcomes.
Adjusts creative approaches to ensure they meet both short-term and long-term business goals.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages self-assessment and reflection to build personal responsibility for results.
Has a strong drive to complete goals despite obstacles that may arise.
Holds others accountable for producing high quality work.
Streamlines procedures when legacy methods hinder progress.
Concentrates efforts on the most urgent needs.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Conveys important reports with a sense of excitement, passion, and urgency.
Keeps open and regular communication with others.
Eliminates unnecessary details when giving instructions.
Marks their status as "available" to signal they are open for communication.
Summarizes or paraphrases the current question to confirm understanding.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes minimum performance standards.
Aware of the consequences for failure to complete the project.
Ensures that employees are compensated fairly and in accordance with established policies.
Takes full responsibility for team's lack of progress.
Documents performance goals through an individual development plan.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the business need for self-regulation and integrity in reporting.
Fosters a commitment to excellence and attention to detail.
Delivers on promises and meets obligations.
Fosters an environment built upon trust.
Actively encourages and recognizes the achievements and efforts of colleagues fostering a supportive and positive work environment.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Anticipates potential obstacles and develops contingency plans to minimize disruption.
Plans and organizes resource use and task timelines across multiple projects.
Creates a strategy for achieving departmental objectives.
Maintains strict confidentiality of information and positions discussed during conflict resolution or negotiations.
Makes decisions that deliver immediate value while advancing long-term strategic goals.
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.
Sets high personal standards of performance.
Responsible for setting the vision of the department.
Completes assigned work tasks.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Offers recognition for big accomplishments.
Is transparent in communication about recognition programs and awards.
Creates recognition programs that drive improvements in organizational performance.
Is an effective advocate for recognition programs in the department/organization.
Offers recognition in a timely manner.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Exhibits determination and passion in completion of goals.
Encourages risk taking for developing potential business opportunities.
Seeks and utilizes mentors to help guide professional development.
Understands the processes and various stages of business development.
Devotes a certain amount of time and effort to developing new business opportunities.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to use corporate politics to advance department objectives.
Anticipates problems that may affect the department.
Gets things done through the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Effective in communicating with others within the organization.

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.