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
Assigns tasks based on skills of team members.
Ensures that assignments are prioritized according to the needs of the department/company.
Completes multiple tasks simultaneously.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Begins tasks as soon as possible.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Committed to the team.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Maintains persistence and dedication to achieving results.
Takes immediate action toward goals.
Coordinates all department activities into a cohesive team effort.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Addresses issues quickly before they develop into major problems.
Works quickly to implement changes in regulations.
Is aware of the documents and reports needed to maintain compliance with regulations.
Offers training on various subjects to help ensure employees are aware of regulations.
Explains regulations and procedures to others as required.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to adapt to new situations.
Effective in incorporating new ideas.
Acts decisively in frequently changing and uncertain environment.
Implements changes as a result of having listened to employees
Adapts to circumstances as needed.
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Leads team to set goals, solve problems, and accomplish tasks.
Able to influence others.
Sets specific, measurable, and challenging goals.
Holds others accountable for their actions.
Motivates others to reach and exceed organizational goals and objectives.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delegate tasks effectively
Sets an example for others to follow
Makes you feel enthusiastic about your work
Is ready to offer help
Takes responsibility for things that go wrong
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to produce the best quality products.
Corrects issues in a timely manner.
Encourages others to produce the highest quality work products.
Encourages others to achieve high quality standards.
Always strives to produce the highest quality work products.
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ability to solve problems at root cause rather than at symptom level.
Able to balance the needs of different people in a solution to a problem.
Understands the root causes of problems.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Makes judgments based upon relevant information.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Discusses conflict situations with supervisor.
Helps employees to think through alternative ways to resolve conflict situations.
Tries to understand others' point of view before making judgments
Deals effectively with employee grievances.
Identifies and takes steps to prevent potential confrontations.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains good interpersonal relationships with representatives from the other party.
Able to adapt to changing situations.
Maintains communication channels between parties in the negotiation.
Changes communication styles to meet the listener's needs.
Establishes good working relationships with others.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Compliments other people when they do good work
Offers recognition in a timely manner.
Readily shares credit and gives others opportunity for visibility.
Lets employees know when they have done well
Says "thank you" to show appreciation for work of others.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages dynamic growth opportunities.
Balances risks and rewards when making decisions.
Understands the processes and various stages of business development.
Has a strategic awareness on how to promote the organization.
Is comfortable operating in an environment of uncertainty.

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.