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
Acts decisively in implementing decisions.
Recognizes individual and team accomplishments and reward them appropriately.
Effectively leads others.
Takes ownership and accountability for results
Holds others accountable for their actions.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Looks for ways to expand and learn new job skills.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand current job responsibilities.
Open to the suggestions from others.
Analyzes processes to determine areas for improvement.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Allows employees to fully participate in employee training and professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Contributing fully to the extent of their skills
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for professional development.
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to adjust project schedule as needed to accommodate unforeseen issues.
Adds the necessary time buffers to avoid the project getting behind schedule.
Acquires and allocates internal and external resources needed for the project.
Establishes communication protocols for messaging team members and stakeholders.
Creates the implementation strategy for the project.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Searches for opportunities and innovative ways to improve the organization.
Suggests new ideas at meetings.
Analyzes current procedures and identifies opportunities for improvement.
Takes risks to advance important ideas.
Solves problems with insight and understanding.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes work promptly and efficiently.
Strives to meet goals and objectives.
Reduces staff turnover.
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Reduced department expenses by 25 percent.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is planful and organized.
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates accurate and effective measures of safety.
Ensures compliance with safety regulations.
Develops safety guidelines for the department.
Seeks to reduce the likelihood of accidents.
Identifies predictable hazards in the workplace.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps employees to maintain high personal standards.
Provides clear, motivating, and constructive feedback.
Develops the skills and capabilities of others.
Addresses employee behavior problems effectively.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Knows where to stand firm and where to compromise.
Fully grasps both party's interests and options.
Clearly explains the issues and interests at the start of negotiations.
Establishes a positive connection with the other party to create a more collaborative atmosphere, making it easier to reach mutually beneficial agreements.
Keeps emotions in check to avoid negative outbursts.

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.