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
Anticipates problems that may affect the department.
Effective in communicating with others within the organization.
Able to use corporate politics to advance department objectives.
Able to deal with sensitive issues with tact and professionalism.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Monitors spending.
Effective in using Company's resources.
Develops of the department's annual budget.
Ensures others follow the correct rules and regulations on fiscal matters.
Develops budgets and plans for various programs and initiatives.
Vision	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Expresses the Company vision in a way that is easily understood and adopted by employees.
Creates a positive vision of the future for the Company.
Works to support the strategy of [Company]
Demonstrates consistency between words and actions
Understands the vision of the Company and promotes it ahead of any self-interests.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Acts decisively in frequently changing and uncertain environment.
Adapts to circumstances as needed.
Can handle changes without complaining.
Open to the perspectives/viewpoints of others.
Works effectively during periods of change.
Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Conducts critical-incident review immediately after the event.
Effectively makes decisions
Drives and mobilizes others progress toward goals.
Works across organizational lines and boundaries to attain goals.
Takes action when opportunities arise.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works effectively in the department.
Has great overall performance
Shown significant improvement in job performance.
Able to organize work.
Effectively organizes resources and plans
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Actively seeks the root cause of a problem.
Implements effective solutions to critical problems.
Works cooperatively with others to solve problems.
Makes judgments based upon relevant information.
Able to balance the needs of different people in a solution to a problem.
Objectives	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works toward achieving established goals and objectives.
Consistently provides me with timely feedback for improving my performance.
Sets long-term and short-term goals.
Able to organize work.
Organizes and schedules events, activities, and resources.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willing to share in the decision making process.
Allows employees to make their own decisions.
Trusts employees with important responsibilities.
Distributes the workload to subordinates.
Gives employees opportunities to demonstrate their skills.

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.