Management - 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

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
Is ready to offer help
Delegate tasks effectively
Makes you feel enthusiastic about your work
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages others to adopt new procedures.
Implements changes as a result of having listened to employees
Adapts to circumstances as needed.
Effective in incorporating new ideas.
Acts decisively in frequently changing and uncertain environment.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Tackles issues head on and finds solutions.
Takes ownership of mistakes and learns from them.
Creates a consistent process for prioritizing work.
Can be counted on to do what they say they are going to do.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks others for their ideas and opinions.
Looks to others for input.
Considers other's opinion and suggestions.
Is visible and approachable.
Seeks feedback to enhance performance.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks to obtain consensus or compromise.
Communicates effectively with others.
Persuades others to consider alternative points of view.
Ensures stakeholders are involved in the decision making process.
Able to express own goals and needs.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to produce the best quality products.
Always strives to produce the highest quality work products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Holds employees accountable for their quality of work.
Encourages others to achieve high quality standards.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts setbacks and challenges as improvement opportunities
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Set high standards in their performance
Demonstrates a well-organized and timely approach to achieve desired results
Completes work to a high technical standard
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Participates in safety training when available.
Works to implement corrective safety measures.
Is aware of OSHA safety guidelines.
Keeps accurate safety records.
Develops a sustainable safety culture.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates congruence between statements and actions.
Delivers on promises made.
Works in a way that makes others want to work with her/him.
Takes ownership, delivers on commitments
Communicates an understanding of the other person's interests, needs and concerns.
Partnering/Networking	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Supports and encourages relationships that are created by diverse team members.
Promotes the understanding of how the department affects the organization overall.
Creates value within the Company by building networks.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Tries to understand others' point of view before making judgments
Helps employees to think through alternative ways to resolve conflict situations.
Assists team members by helping them see the other point of view.
Clearly expresses expectations to others.
Identifies and takes steps to prevent potential confrontations.

56. Overall, please rate the effectiveness of .
    

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

    
    
57. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
58. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
59. Additional comments, if any for 's assessment.