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
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Assesses current capabilities before committing to new requests from customers.
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.
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to focus on a task even when working alone.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Coordinates all department activities into a cohesive team effort.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
Keeps informed of various regulations and procedures.
Ensures regulations are followed as required.
Follows all safety regulations and procedures.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to adapt to new situations.
Works effectively during periods of change.
Adapts to circumstances as needed.
Adapts to new organizational structures, policies, or procedures.
Open to the perspectives/viewpoints of others.
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively leads others.
Gives direct, constructive, and actionable feedback.
Highly effective supervisor.
Acts decisively in implementing decisions.
Demonstrates leadership and courage in critical situations.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Is ready to offer help
Delegate tasks effectively
Sets an example for others to follow
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages others to achieve high quality standards.
Reflects on what is working and what could be improved.
Encourages employees to produce the best quality products.
Always strives to produce the highest quality work products.
Corrects issues in a timely manner.
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.
Effective in solving problems.
Identifies and assesses all potential responses to a problem.
Is a good problem solver and decision maker
Able to balance the needs of different people in a solution to a problem.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Deals effectively with employee grievances.
Helps employees to think through alternative ways to resolve conflict situations.
Discusses conflict situations with supervisor.
Assists team members by helping them see the other point of view.
Tries to understand others' point of view before making judgments
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to say "no" when it is essential to maintaining quality and high standards.
Maintains good interpersonal relationships with representatives from the other party.
Establishes clear communications to avoid misunderstandings.
Conducts necessary preparations before engaging in negotiations.
Is able to decline bad ideas to avoid making poor decisions.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Offers recognition in a timely manner.
Says "thank you" to show appreciation for work of others.
Reinforces and rewards employees for accomplishing necessary goals.
Recognizes individuals for a specific outstanding achievement.
Recognizes the abilities and skills of self and others
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages risk taking for developing potential business opportunities.
Exhibits determination and passion in completion of goals.
Finds unique ways to go around barriers to success.
Encourages dynamic growth opportunities.
Able to adapt the department to changing business demands and climate.

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.