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
Able to organize work.
Communicates goals and objectives to employees.
Ability to establish realistic goals.
Sets long-term and short-term goals.
Establishes goals and objectives.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters a high standard of ethics and integrity.
Follows tasks to completion.
Protects the integrity and confidentiality of information
Fosters an environment built upon trust.
Does what was promised.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Shows by their actions that they trust in the positive intentions of others.
Visibly supports and encourages diversity in style and background.
Contributes to a positive work environment.
Treats all people fairly and with respect.
Works to eliminate unnecessary work or barriers that get in others' way.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Embraces an open-minded approach allowing managers to discover and promote innovative solutions that drive business success.
Challenges current procedures to develop other alternatives.
Advocates for disruptive innovation to ensure the department remains agile and responsive to evolving market demands.
Creates innovative products or services.
Creates innovative methods of developing business opportunities.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Supports new initiatives for organizational changes to improve effectiveness.
Effective in dealing with ambiguous and challenging situations.
Is a leading force driving changes.
Facilitates change with minimal resistance.
Supports the Company's efforts to implement changes.
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.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Encourages commitment in others to obtain results.
Takes immediate action toward goals.
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
Clarifies problems and their causes to help employees correct them.
Attends to the important details of a job or task.
Clearly explains responsibilities to individuals.
Seeks to reduce ambiguity in messaging and documents.
Is clear about goals that need to be achieved.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses risk data to generate insights and drive strategic decisions.
Looks for opportunities to turn a risk event into an advantage for the company.
Seeks to maintain the long-term viability of the Company through effective risk management.
Develops policies to address risk situations in the workplace.
Works effectively to mitigate risks.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is trustworthy; is someone I can trust.
Delivers on promises made.
Consistently keeps commitments.
Is a person you can trust.
Demonstrates congruence between statements and actions.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains a strategic focus to sustain competitiveness in changing business environments.
Detects changes in the environment and updates the strategic plan to address new opportunities or threats.
Makes sure the objectives are clearly communicated and understood.
Identifies and addresses strategic risks impacting operations.
Sets strategic objectives to be achieved.
Global Perspective	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is aware of the culture, behaviors, identities and beliefs of others.
Demonstrates a curiosity about diverse individuals and cultures.
Has positive interactions with individuals from different cultures and backgrounds.
Understands global systems such as the global economy.
Is able to work with individuals having different backgrounds and cultures.

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.