Objectives - 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

Objectives	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assures [Company] principles are understood, employed & pursued.
Organizes and schedules events, activities, and resources.
Sets long-term and short-term goals.
Works toward achieving established goals and objectives.
Establishes goals and objectives.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates sincerity in actions with others.
Establishes relationships of trust, honesty, fairness, and integrity.
Accepts responsibility for mistakes.
Follows tasks to completion.
Demonstrates honesty and truthfulness at all times.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Contributes to a positive work environment.
Shows by their actions that they trust in the positive intentions of others.
Builds open and trusting relationships.
Visibly supports and encourages diversity in style and background.
Is gracious and professional in their interactions with others.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a safe environment for idea-sharing.
Suggests new ideas at meetings.
Analyzes current procedures and identifies opportunities for improvement.
Builds upon the ideas and solutions of others.
Implements best practices within the department.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assists others in understanding changes to the organization.
Addresses organizational and departmental resistance to changes.
Effective in implementing new organizational vision and values.
Supports the Company's efforts to implement changes.
Supports new initiatives for organizational changes to improve effectiveness.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to focus on a task even when working alone.
Committed to the team.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Maintains persistence and dedication to achieving results.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Checks details thoroughly.
Attends to the important details of a job or task.
Avoids creating ambiguity or mixed messages.
Communicates ideas and facts clearly and effectively in writing.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to adapt quickly to changing situations.
Maintains open communication with other departments.
Recognizes that small changes may snowball into major events.
Seeks to maintain the long-term viability of the Company.
Effectively responds to critical situations to reduce potential for losses.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Consistently keeps commitments.
Demonstrates congruence between statements and actions.
Builds and maintains the trust of others.
Delivers on promises made.
Is a person you can trust.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Communicates goals and objectives to employees.
Understands their role within the organization.
Able to decline a poor strategy by proposing alternate strategies.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Global Perspective	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands how cultures differ and how these differences impact work behavior.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Can effectively deliver presentations to international clients.
Aligns personal vision with global strategies.
Demonstrates working knowledge of global transactions.

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.