Organizational Fluency- 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

Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Gets things done through the department.
Understands departmental policies and procedures.
Effective in communicating with others within the organization.
Anticipates problems that may affect the department.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Monitors expenses and verifies the need for items purchased.
Develops of the department's annual budget.
Develops budgets and plans for various programs and initiatives.
Monitors spending.
Effective in using Company's resources.
Vision	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates consistency between words and actions
Communicates a vision of where the Company needs to be in the future.
Works to support the strategy of [Company]
Develops action plans to align his/her work with the goals of the organization
Expresses the Company vision in a way that is easily understood and adopted by employees.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works effectively during periods of change.
Encourages others to adopt new procedures.
Adapts to circumstances as needed.
Effective in incorporating new ideas.
Able to adapt to new situations.
Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does whatever it takes (within reason) to get the job done.
Displays high energy and enthusiasm on consistent basis.
Works quickly when faced with difficult problems.
Is not afraid to take corrective action when necessary.
Drives and mobilizes others progress toward goals.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
...Overall Performance
...Produce Quality
Works effectively in the department.
Shown significant improvement in job performance.
Sets a high standard for job performance.
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Generates alternative solutions to problems and challenges.
Identifies and assesses all potential responses to a problem.
Implements effective solutions to critical problems.
Ability to solve problems at root cause rather than at symptom level.
Is a good problem solver and decision maker
Objectives	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes goals and objectives.
Effectively organizes resources and plans
Encourages me to take on greater responsibility.
Ability to establish realistic goals.
Assures [Company] principles are understood, employed & pursued.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willing to share in the decision making process.
Trusts employees to complete tasks assigned.
Supports the decisions of others.
Gives responsibility for making important decisions to employees.
Encourages others to obtain necessary skills and training.

46. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
47. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
48. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
49. Additional comments, if any for [Participant Name Here]'s assessment.