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
Delegate tasks effectively
Takes responsibility for things that go wrong
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
Encourages others to adopt new procedures.
Acts decisively in frequently changing and uncertain environment.
Willing to try new ideas.
Adapts to new organizational structures, policies, or procedures.
Identifies new opportunities to achieve goals
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Expects employees to account for their actions and performance.
Always starts work on time.
Keeps supervisor informed of recent events.
Requires advanced warning on problems and issues that will affect completion of tasks.
Willingly accepts the consequences for their actions.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is easy to approach with ideas and opinions.
Shares past experiences with others as learning opportunities.
Accepts the views of others.
Asks others for their ideas and opinions.
Is visible and approachable.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understanding what others need.
Has excellent influencing/negotiating skills.
Develops a good rapport with others.
Able to express own goals and needs.
Persuades others to consider alternative points of view.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Corrects issues in a timely manner.
Encourages others to produce the highest quality work products.
Holds employees accountable for their quality of work.
Encourages employees to produce the best quality products.
Encourages others to achieve high quality standards.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes calculated risks to achieve higher levels of performance.
Completes work to a high technical standard
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Sets challenging goals.
Sets performance metrics to measure achievement or attainment of goals.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies predictable hazards in the workplace.
Participates in safety training as applicable.
Points out behaviors in others that may be unsafe.
Commits adequate resources toward safety measures.
Works to implement corrective safety measures.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delivers on promises made.
Communicates an understanding of the other person's interests, needs and concerns.
Takes care to maintain confidential information.
Is trustworthy; is someone I can trust.
Builds and maintains the trust of others.
Partnering/Networking	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Partners with peers to obtain influence within the Company.
Collaborates with others to accomplish goals and objectives.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Builds alliances between departments and teams.
Supports a partnering/networking culture.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies and takes steps to prevent potential confrontations.
Discusses conflict situations with supervisor.
Assists team members by helping them see the other point of view.
Clearly expresses expectations to others.
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.