Others- 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

Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Treats others with respect and dignity.
Includes others in the decision making processes.
Able to see issues from others' perspectives.
Constructively receives criticism and suggestions from others.
...treats others with respect and dignity.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gives others development opportunities through project assignments and increased job responsibilities
Sets and clearly communicates expectations, performance goals, and measurements to others
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
Provides ongoing feedback to co-workers on their development progress
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can be counted on to do what they say they are going to do.
Is aware of problems or issues that may affect the organization.
Encourages employees to take on greater responsibilities.
Defines roles, rights, and responsibilities of the team.
Develops goals and establishes objective measures of success.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has excellent influencing/negotiating skills.
Communicates effectively with others.
Ensures stakeholders are involved in the decision making process.
Attempts to persuade others rather than simply control them.
Develops a good rapport with others.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in implementing new organizational vision and values.
Addresses organizational and departmental resistance to changes.
Effective in dealing with ambiguous and challenging situations.
Facilitates change with minimal resistance.
Is a leading force driving changes.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is planful and organized.
Produces high quality work.
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to clearly express thoughts and concerns.
Establishes clear communications to avoid misunderstandings.
Actively listens to conversations to be able to recall important details later.
Is able to decline bad ideas to avoid making poor decisions.
Conducts necessary preparations before engaging in negotiations.

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

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

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