Juggling Multiple Responsibilities - 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

Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses a scheduler/planner to keep tasks organized and on time.
Ranks the importance of tasks to make sure critical tasks are completed first.
Switches attention to more urgent tasks when necessary.
Can multitask while performing all of their other responsibilities and activities.
Plans and organizes continuously while performing all other responsibilities and activities.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages commitment in others to obtain results.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Takes immediate action toward goals.
Committed to the team.
Coordinates all department activities into a cohesive team effort.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Complies with regulatory requirements for the state.
Understands the applicable regulations and laws that impact our business.
Offers training to employees to ensure they are complying with regulations.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Complies with trade agreements affecting international companies.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Acts decisively in frequently changing and uncertain environment.
Encourages others to adopt new procedures.
Adapts to new organizational structures, policies, or procedures.
Willing to try new ideas.
Works effectively during periods of change.
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates leadership and courage in critical situations.
Expresses clear goals and objectives.
Gives inspiring presentations or discussions.
Takes ownership and accountability for results
Leads team to set goals, solve problems, and accomplish tasks.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets an example for others to follow
Is ready to offer help
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
Delegate tasks effectively
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Corrects issues in a timely manner.
Holds employees accountable for their quality of work.
Encourages others to produce the highest quality work products.
Always strives to produce the highest quality work products.
Reflects on what is working and what could be improved.
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in solving problems.
Makes judgments based upon relevant information.
Identifies and assesses all potential responses to a problem.
Solves problems using logic and insight.
Generates alternative solutions to problems and challenges.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps employees to think through alternative ways to resolve conflict situations.
Deals effectively with employee grievances.
Assists team members by helping them see the other point of view.
Discusses conflict situations with supervisor.
Identifies and takes steps to prevent potential confrontations.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the expectations of other parties in the negotiation.
Able to say "no" when it is essential to maintaining quality and high standards.
Establishes clear communications to avoid misunderstandings.
Is able to decline bad ideas to avoid making poor decisions.
Leverages relationships with others to achieve goals.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Compliments other people when they do good work
Recognizes the abilities and skills of self and others
Finds opportunities to recognize others.
Lets employees know when they have done well
Recognizes individuals for a specific outstanding achievement.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can work effectively in an environment of uncertainty.
Is comfortable operating in an environment of uncertainty.
Finds unique ways to go around barriers to success.
Understands the processes and various stages of business development.
Exhibits determination and passion in completion of goals.

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

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

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