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

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Objectives	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ability to establish realistic goals.
Assures [Company] principles are understood, employed & pursued.
Encourages me to take on greater responsibility.
Sets long-term and short-term goals.
Able to organize work.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters a culture of professionalism and mutual respect.
Takes responsibility for commitments ensuring that they are met.
Admits to, and corrects, even minor mistakes to foster a culture of accountability.
Implements checks and balances to help ensure integrity of operations.
Reinforces integrity through personal example.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses affirming language that emphasizes strengths, possibilities, and momentum.
Shows vulnerability by asking for help or clarity when needed, normalizing shared learning.
Pleasant and gracious to work with.
Works to eliminate unnecessary work or barriers that get in others' way.
Speaks positively about the organizational direction, helping staff see the bigger picture.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Guides the department's innovation focus.
Not afraid to think outside the box when dealing with issues.
Promotes innovation as an opportunity to gain competitive advantages in the marketplace.
Has a strong commitment to innovation.
Empowers employees with the technical skills essential for driving innovation and achieving strategic goals.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the consequences that may result from significant changes.
Forms an effective change management team.
Develops a strategy for implementing changes.
Modifies leadership style to address new challenges.
Amasses resources needed to implement changes.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willing to do whatever it takes-not afraid to have to put in extra effort.
Able to focus on a task even when working alone.
Takes immediate action toward goals.
Maintains persistence and dedication to achieving results.
Committed to the team.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates ideas and facts clearly and effectively in writing.
Maintains clarity in goals and objectives.
Makes sure employees understand why they were given certain assignments.
Clearly explains the vision and goals of the company.
Adjusts communication methods to the needs of the audience.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies the controls needed.
Effectively responds to critical situations to reduce potential for losses.
Prioritizes the risks to determine the most pressing needs.
Fosters an awareness and a shared responsibility for managing risk at all levels of the Company.
Promotes risk management competence throughout the organization.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a person you can trust.
Demonstrates congruence between statements and actions.
Communicates an understanding of the other person's interests, needs and concerns.
Builds and maintains the trust of others.
Delivers on promises made.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes the need for strategically developing unique capabilities.
Turns strategic priorities into action plans.
Develops a corporate strategy to establish business operations in different locations.
Able to identify internal strengths and weaknesses and the opportunities and threats that impact the company.
Develops a strategic vision for the future.
Global Perspective	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Forms strong client relationships with international partners.
Is able to work with individuals having different backgrounds and cultures.
Able to work with others from different cultures and countries.
Volunteers for experiences and assignments abroad.
Is aware of the culture, behaviors, identities and beliefs of others.

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.