Leadership - 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

Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Guides decision-making by coaching, counseling and rewarding.
Able to organize the work of others.
Leads team to set goals, solve problems, and accomplish tasks.
Recognizes individual and team accomplishments and reward them appropriately.
Highly effective supervisor.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Analyzes processes to determine areas for improvement.
Looks for ways to improve work processes and procedures.
Looks for ways to expand and learn new job skills.
Looks for ways to expand current job responsibilities.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep themselves up-to-date of technical/professional issues
Contributing fully to the extent of their skills
Encourages employees to take courses relevant to their job.
Allows employees to fully participate in employee training and professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Determines the appropriate strategy for mitigating specific risks.
Organizes work and sets priorities as needed.
Responds quickly and appropriately to unforeseen problems.
Formulates the schedule for the project phases, resoures usage, and benchmarks.
Understands the financial, strategic, resources, staffing, timeline and market risks that may impact the project.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters a culture of disruptive innovation to drive significant market shifts and create unparalleled value for customers.
Generates innovative and practical ideas and approaches.
Establishes measurable innovation goals and regularly track progress to maintain focus and momentum.
Has a strong commitment to innovation.
Offers solutions to problems when talking with clients.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Follows-up and takes action when goals are not met to ensure better results in the future.
Strives to exceed standards of performance.
Takes calculated risks to achieve difficult goals.
Set high standards in their performance
Demonstrates improvement in performance.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Committed to safety in the workplace.
Identifies and addresses safety needs.
Identifies predictable hazards in the workplace.
Creates accurate and effective measures of safety.
Develops a sustainable safety culture.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops the skills and capabilities of others.
Helps employees to maintain high personal standards.
Provides clear, motivating, and constructive feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Helps employees to understand responsibilities, authority, and expectations.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adapts strategies to better meet the needs of the moment.
Leverages relationships with others to achieve goals.
Listens to all sides without bias and makes fair decisions.
Alters plans to respond to immediate challenges.
Controls emotional responses to maintain a productive atmosphere.

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

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

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