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

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Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delegate tasks effectively
Takes responsibility for things that go wrong
Is ready to offer help
Keep staff informed about what is happening in the company
Sets an example for others to follow
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responds effectively to changes in the market conditions.
Changes strategies based on new information.
Is flexible in considering different viewpoints.
Has the ability to pivot strategies, operations, or processes in real-time to meet new challenges or seize new opportunities.
Embraces change, values feedback, and is willing to experiment with different methods to find the most effective solutions.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for seeing the project through to completion.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Tackles issues head on and finds solutions.
Takes responsibility for the direction of the team.
Requires advanced warning on problems and issues that will affect completion of tasks.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is visible and approachable.
Open to the suggestions of others.
Shares past experiences with others as learning opportunities.
Accepts the views of others.
Considers other's opinion and suggestions.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Persuades others to consider alternative points of view.
Attempts to persuade others rather than simply control them.
Has excellent influencing/negotiating skills.
Develops a good rapport with others.
Understanding what others need.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Always strives to produce the highest quality work products.
Recognizes their role in promoting quality and safety in the workplace.
Encourages others to achieve high quality standards.
Communicates quality standards clearly.
Assists quality control inspectors.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Successfully completed the orientation training program.
Increased revenue for the company.
Created impactful reports for the re-organization committee.
Sets ambitious standards of performance.
Strives to meet goals and objectives.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Supports our company's safety programs.
Performs work safely.
Mitigates hazards and safety issues that arise.
Encourages others to attend safety training.
Participates in safety training when offered.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates congruence between statements and actions.
Builds and maintains the trust of others.
Communicates an understanding of the other person's interests, needs and concerns.
Takes ownership, delivers on commitments
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Partnering/Networking	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Regularly attends conferences and seminars to meet with others in the industry.
Seeks to avoid conflicts by clarifying problems early on and working quickly to resolve those issues.
Provides or participates in joint ventures or co-development projects.
Expands network of colleagues to include others who may contribute to the department's success.
Communicates with others in an open manner.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Combines different ideas and viewpoints.
Seeks to maintain positive relationships with coworkers.
Ensures that all team members feel respected and heard.
Ensures fair treatment for both parties, giving each the chance to speak and share their viewpoints.
Reframes conflicts as opportunities to innovate and create new solutions to problems.

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.