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

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Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works across boundaries within the organization.
Constructively receives criticism and suggestions from others.
Helpful
...treats others with respect and dignity.
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
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
Works to identify root causes of performance problems
Provides ongoing feedback to co-workers on their development progress
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Projects an image of transparency and trustworthiness in the administration of fair and equitable policies.
Consistently strives to complete work on time or ahead of schedule.
Maintains honesty and transparency in all communications.
Ensures that employees are compensated fairly and in accordance with established policies.
Honors the commitments and promises made to customers/clients.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Engages others with logic, empathy, and enthusiasm to inspire voluntary commitment to ideas and initiatives.
Exhibits expertise in the matter and is able to convince others in the best course of action.
Listens actively and adapts messaging to resonate with different viewpoints without diluting the core message.
Changes the attitudes, behaviors, and beliefs of others.
Demonstrates consistent integrity and professionalism, earning the respect and trust of others.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps employees overcome their resistance to change.
Is interested in working on projects that may not be well defined.
Develops strategic plans to mitigate the negative effects of imminent changes.
Incorporates input from all relevant stakeholders into the change process.
Inspires others to adopt the necessary changes.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can be counted on to add value wherever they are involved.
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
Takes a lot of pride in their work.
Produces high quality work.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes a strong, cooperative atmosphere; defines expectations; and presents a well-structured agenda aligned with key priorities.
Establishes good working relationships with others.
Is able to decline bad ideas to avoid making poor decisions.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Establishes clear communications to avoid misunderstandings.

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.