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

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Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can multitask while performing all of their other responsibilities and activities.
Builds in extra time in the schedule for unplanned events/occurrences.
Plans and organizes continuously while performing all other responsibilities and activities.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Spends the most time and effort on critical tasks first.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Committed to the team.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Able to focus on a task even when working alone.
Maintains persistence and dedication to achieving results.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops compliance reports to share with stakeholders.
Offers training to employees to ensure they comply with regulations.
Identifies and assesses areas of regulatory or compliance risk.
Develops the appropriate incentives (or disincentives) for regulatory compliance.
Implements regulatory compliance strategies.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responds positively to unanticipated changes in the work schedule.
Anticipates differences to the procedures that may be needed due to a changing operating environment.
Accommodates adaptable scheduling.
Demonstrates the ability to modify training methods and materials to suit visual, auditory, and kinesthetic learners, thereby enhancing overall comprehension and engagement.
Adapts quickly to new technologies that impact the production line.
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Expresses clear goals and objectives.
Recognizes individual and team accomplishments and reward them appropriately.
Provides resources to enable individuals to develop professionally.
Demonstrates leadership and courage in critical situations.
Leads team to set goals, solve problems, and accomplish tasks.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep staff informed about what is happening in the company
Takes responsibility for things that go wrong
Delegate tasks effectively
Is ready to offer help
Makes you feel enthusiastic about your work
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Holds employees accountable for their quality of work.
Addresses barriers to successfully implementing quality standards.
Adopts, integrates, and disseminates quality guidelines and standards.
Evaluates and improves the quality of services and products.
Effectively works with Quality Control (QC) engineers.
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes preventative action to address issues before they become difficult to manage.
Measures the solution's impact on the desired outcomes and identifyies any deviations from the expected performance.
Establishes a timeline for implementation and organizes the needed supplies and equipment.
Assigns the right people with the right skills to the right tasks taking into account experience, expertise, and availability.
Clarifies objectives and the current scenario to help employees grasp the problem.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Combines ideas and viewpoints of different team members.
Examines differences and disagreements for creative and strategic resolutions.
Facilitates dialog between team members.
Tries to understand others' point of view before making judgments
Settles disputes resulting in a win-win for both parties.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Researches the needs of the other party to identify strengths and weaknesses of positions.
Is aware of potential emotional triggers that could negatively impact the negotiations.
Able to say "no" when it is essential to maintaining quality and high standards.
Uses the motivations of each party to identify mutually advantageous solutions.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Readily shares credit and gives others opportunity for visibility.
Lets employees know when they have done well
Compliments other people when they do good work
Recognizes the abilities and skills of self and others
Recognizes individuals for a specific outstanding achievement.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Balances risks and rewards when making decisions.
Understands the processes and various stages of business development.
Is comfortable operating in an environment of uncertainty.
Has a strategic awareness on how to promote the organization.
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.