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
Makes you feel enthusiastic about your work
Sets an example for others to follow
Delegate tasks effectively
Is ready to offer help
Takes responsibility for things that go wrong
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accommodates the needs of employees as best as possible when requests for time off are made.
Demonstrates adaptability in innovative thought processes.
Flexible and resilient in addressing critical incidents.
Able to work in multiple environments as needed.
Able to adapt processes in response to critical incidents that impact the workflow.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Expects employees to accept the consequences of their actions.
Upholds ethical standards even when no one is watching.
Encourages employees to take on greater responsibilities.
Is someone you can trust.
Consistently exhibits professionalism in interactions with employees.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is easy to approach with ideas and opinions.
Considers other's opinion and suggestions.
Accepts the views of others.
Looks to others for input.
Is visible and approachable.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has excellent influencing/negotiating skills.
Understanding what others need.
Able to express own goals and needs.
Ensures stakeholders are involved in the decision making process.
Persuades others to consider alternative points of view.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Committed to the improvement of the quality of services and products.
Addresses barriers to successfully implementing quality standards.
Maintains detailed instructions to ensure consistency and quality in the production line.
Implements standardized and data driven quality processes/procedures.
Effectively coordinates with other departments to improve quality.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Inspires others to work with a sense of urgency.
Increased production by 20 percent.
Accepts setbacks and challenges as improvement opportunities
Strives to exceed standards of performance.
Demonstrates a well-organized and timely approach to achieve desired results
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Performs work safely.
Commits adequate resources toward safety measures.
Identifies and addresses safety needs.
Ensures that all supervisors are aware of regulatory and compliance measures.
Develops a strong safety culture.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a person you can trust.
Takes ownership, delivers on commitments
Works in a way that makes others want to work with her/him.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Delivers on promises made.
Partnering/Networking	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains infrastructure to support partnerships and networks.
Regularly schedules coffee chats or informal meetups to deepen personal connections.
Sustains existing partnerships guided by contracts and agreements.
Optimizes processes by leveraging each function's strength.
Hosts forums, colloquiums, and seminars to share information and ideas.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Deals effectively with employee grievances.
Discusses conflict situations with supervisor.
Shares competing viewpoints to expand viewpoints.
Identifies the root sources of conflict.
Ensures that both parties work toward finding compromise.

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.