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
Is ready to offer help
Delegate tasks effectively
Takes responsibility for things that go wrong
Sets an example for others to follow
Makes you feel enthusiastic about your work
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies new opportunities to achieve goals
Encourages others to adopt new procedures.
Adapts to new organizational structures, policies, or procedures.
Can handle changes without complaining.
Works effectively during periods of change.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is someone who is there when you need them.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Defines roles, rights, and responsibilities of the team.
Requires advanced warning on problems and issues that will affect completion of tasks.
Tackles issues head on and finds solutions.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is visible and approachable.
Considers other's opinion and suggestions.
Asks others for their ideas and opinions.
Shares past experiences with others as learning opportunities.
Actively seeks feedback from others.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates effectively with others.
Able to express own goals and needs.
Understanding what others need.
Develops a good rapport with others.
Seeks to obtain consensus or compromise.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to produce the best quality products.
Reflects on what is working and what could be improved.
Holds employees accountable for their quality of work.
Encourages others to produce the highest quality work products.
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
Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
Takes calculated risks to achieve higher levels of performance.
Takes calculated risks.
Holds others to high standards of achievement.
Rapidly completes tasks and assignments.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Supports safety programs and procedures.
Is aware of OSHA safety guidelines.
Identifies predictable hazards in the workplace.
Develops a culture of safety.
Develops safety guidelines for the department.
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.
Builds and maintains the trust of others.
Consistently keeps commitments.
Takes ownership, delivers on commitments
Demonstrates a sense of responsibility and commitment to public trust.
Partnering/Networking	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates value within the Company by building networks.
Supports a partnering/networking culture.
Partners with peers to obtain influence within the Company.
Maintains infrastructure to support partnerships and networks.
Supports and encourages relationships that are created by diverse team members.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Discusses conflict situations with supervisor.
Clearly expresses expectations to others.
Assists team members by helping them see the other point of view.
Tries to understand others' point of view before making judgments
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.