Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #6

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 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 and . 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
Can multi-task while performing all of their other responsibilities and activities.
Bounces back from daily crisis, disappointments and frustrations.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Plans and organizes continuously while performing all other responsibilities and activities.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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.
Takes immediate action toward goals.
Able to focus on a task even when working alone.
Committed to the team.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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.
Addresses issues quickly before they develop into major problems.
Follows all safety regulations and procedures.
Understands the applicable regulations and laws that impact our business.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Open to the perspectives/viewpoints of others.
Acts decisively in frequently changing and uncertain environment.
Can handle changes without complaining.
Encourages others to adopt new procedures.
Is open to alternative ways to accomplish goals
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
Acts decisively in implementing decisions.
Demonstrates leadership and courage in critical situations.
Gives direct, constructive, and actionable feedback.
Takes ownership and accountability for results
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets an example for others to follow
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
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
Holds employees accountable for their quality of work.
Encourages others to achieve high quality standards.
Corrects issues in a timely manner.
Encourages others to produce the highest quality work products.
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.
Effective in solving problems.
Works cooperatively with others to solve problems.
Ability to develop innovative solutions to problems.
Identifies and assesses all potential responses to a problem.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Clearly expresses expectations to others.
Helps employees to think through alternative ways to resolve conflict situations.
Discusses conflict situations with supervisor.
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
Is able to decline bad ideas to avoid making poor decisions.
Leverages relationships with others to achieve goals.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Influences others through rational argument and persuasion.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Offers recognition in a timely manner.
Recognizes team members who offer a significant contribution to a project.
Recognizes individuals for a specific outstanding achievement.
Finds opportunities to recognize others.
Readily shares credit and gives others opportunity for visibility.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Devotes a certain amount of time and effort to developing new business opportunities.
Excellent at managing relationships with stakeholders.
Encourages risk taking for developing potential business opportunities.
Able to adapt the department to changing business demands and climate.
Finds unique ways to go around barriers to success.

61. Overall, please rate the effectiveness of .
    

    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 's assessment.