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
Sets long-term and short-term goals.
Assures [Company] principles are understood, employed & pursued.
Encourages me to take on greater responsibility.
Able to organize work.
Ability to establish realistic goals.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains strong relationships with others.
Establishes relationships of trust, honesty, fairness, and integrity.
Demonstrates sincerity in actions with others.
Demonstrates honesty and truthfulness at all times.
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.
Contributes to a positive and fun work environment.
Is gracious and professional in their interactions with others.
Visibly supports and encourages diversity in style and background.
Builds open and trusting relationships.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Suggests new ideas at meetings.
Offers constructive improvements to existing systems.
Analyzes current procedures and identifies opportunities for improvement.
Builds upon the ideas and solutions of others.
Searches for opportunities and innovative ways to improve the organization.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to get department employees to accept new changes.
Effective in dealing with ambiguous and challenging situations.
Develops plans for following through on the changes.
Inspires others to accept changes.
Assists others in understanding changes to the organization.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains persistence and dedication to achieving results.
Able to focus on a task even when working alone.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Checks details thoroughly.
Communicates with clarity and efficiency.
Writes clear job descriptions for positions in the organization.
Avoids creating ambiguity or mixed messages.
Avoids stating unclear or conflicting goals.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Knows how to obtain desired results with minimal losses.
Is aware of the financial implications of certain risks.
Works within constraints of the organization.
Seeks to increase safety in the workplace.
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.
Is trustworthy; is someone I can trust.
Works in a way that makes others want to work with her/him.
Takes care to maintain confidential information.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Understands their role within the organization.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Able to decline a poor strategy by proposing alternate strategies.
Global Perspective	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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.
Facilitates open communication with individuals from other countries.
Exemplifies the skills of a global worker.
Is able to work with individuals having different backgrounds and cultures.
Understands global systems such as the global economy.

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.