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.
Encourages me to take on greater responsibility.
Effectively organizes resources and plans
Consistently provides me with timely feedback for improving my performance.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does what was promised.
Establishes relationships of trust, honesty, fairness, and integrity.
Protects the integrity and confidentiality of information
Fosters a high standard of ethics and integrity.
Maintains strong relationships with others.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Visibly supports and encourages diversity in style and background.
Is gracious and professional in their interactions with others.
Works to eliminate unnecessary work or barriers that get in others' way.
Builds open and trusting relationships.
Contributes to a positive work environment.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Offers constructive improvements to existing systems.
Creates improved methods or solutions for meeting goals and objectives.
Takes risks to advance important ideas.
Solves problems with insight and understanding.
Finds creative ways to get things done with limited resources.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Inspires others to want to change.
Is a leading force driving changes.
Assists others in understanding changes to the organization.
Able to get team members to change their attitudes.
Able to get department employees to accept new 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.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
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
Clearly explains responsibilities to individuals.
Clearly defines work objectives for employees.
Uses appropriate grammar and tense in communications.
Communicates with clarity and efficiency.
Clarifies problems and their causes to help employees correct them.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies what actions the organization is willing to take.
Seeks specific risks that will create opportunities to advance the department/company.
Perceives the risks of different work tasks and activities.
Determines the risk tolerance of the company.
Accepts risk as needed.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delivers on promises made.
Demonstrates congruence between statements and actions.
Takes care to maintain confidential information.
Is a person you can trust.
Is trustworthy; is someone I can trust.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure employees understand the strategy and goals.
Understands the importance of developing strategic capabilities.
Reinforces the strategic messaging in various teams, meetings, seminars and workshops.
Turns strategic priorities into action plans.
Identifies bottlenecks in the production process and develops strategies to correct these issues.
Global Perspective	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Forms strong client relationships with international partners.
Is aware of the culture, behaviors, identities and beliefs of others.
Able to listen and understand others and discuss issues in a respectful way.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Builds working relationships with others across 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.