Management - 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

Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets an example for others to follow
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Takes responsibility for things that go wrong
Delegate tasks effectively
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can handle changes without complaining.
Able to adapt to new situations.
Works effectively during periods of change.
Implements changes as a result of having listened to employees
Identifies new opportunities to achieve goals
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is someone who is there when you need them.
Defines roles, rights, and responsibilities of the team.
Keeps their word and does what they say they will do.
Holds team accountable to meeting goals.
Develops goals and establishes objective measures of success.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Looks to others for input.
Actively seeks feedback from others.
Seeks feedback to enhance performance.
Shares past experiences with others as learning opportunities.
Considers other's opinion and suggestions.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understanding what others need.
Develops a good rapport with others.
Able to express own goals and needs.
Ensures stakeholders are involved in the decision making process.
Communicates effectively with others.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to produce the best quality products.
Corrects issues in a timely manner.
Holds employees accountable for their quality of work.
Reflects on what is working and what could be improved.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates a well-organized and timely approach to achieve desired results
Set high standards in their performance
Completes work to given time frame and to budget
Systematically works to improve the organization
Follows-up and takes action when goals are not met to ensure better results in the future.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies predictable hazards in the workplace.
Develops a strong safety culture.
Is aware of OSHA safety guidelines.
Is not afraid to question a potential safety issue observed in the workplace.
Encourages others to attend safety training.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works in a way that makes others want to work with her/him.
Takes care to maintain confidential information.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Is a person you can trust.
Demonstrates a sense of responsibility and commitment to public trust.
Partnering/Networking	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains infrastructure to support partnerships and networks.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Seeks an understanding of diverse functions within the Company.
Builds alliances between departments and teams.
Seeks to reduce institutional roadblocks to information sharing.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps employees to think through alternative ways to resolve conflict situations.
Identifies and takes steps to prevent potential confrontations.
Clearly expresses expectations to others.
Assists team members by helping them see the other point of view.
Deals effectively with employee grievances.

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

    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 [Participant Name Here]'s assessment.