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
Leads team to set goals, solve problems, and accomplish tasks.
Takes ownership and accountability for results
Is a highly effective supervisor.
Holds others accountable for their actions.
Effectively leads others.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand and learn new job skills.
Looks for ways to improve work processes and procedures.
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
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Encourages employees to take courses relevant to their job.
Seeks opportunities for professional development.
Seeks opportunities for continuous learning.
Keep themselves up-to-date of technical/professional issues
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responds quickly and appropriately to unforeseen problems.
Organizes work and sets priorities as needed.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Develops performance measures for various aspects of the project.
Able to adjust project schedule as needed to accommodate unforeseen issues.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes risks to advance important ideas.
Fosters a creative and innovative work environment.
Finds creative ways to get things done with limited resources.
Creates improved methods or solutions for meeting goals and objectives.
Challenges current procedures to develop other alternatives.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Driven to complete assignments on time.
Demonstrates improvement in performance.
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Is flexible in adjusting priorities to meet the demands of changing situations.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can be counted on to add value wherever they are involved.
Demonstrates the functional or technical skills necessary to do their job.
Is planful and organized.
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures that all supervisors are aware of regulatory and compliance measures.
Commits adequate resources toward safety measures.
Develops a culture of safety.
Committed to safety in the workplace.
Mitigates hazards and safety issues that arise.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps employees to understand responsibilities, authority, and expectations.
Develops the skills and capabilities of others.
Conducts regular performance appraisals and feedback.
Helps employees to maintain high personal standards.
Meets regularly with employees to coach them on areas that will enhance their performance
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Able to say "no" when it is essential to maintaining quality and high standards.
Maintains communication channels between parties in the negotiation.
Changes communication styles to meet the listener's needs.
Identifies verbal and nonverbal cues to help interpret actions and messages.

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.