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.
Works effectively with people from other departments.
...treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Helpful
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
Works to identify root causes of performance problems
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes full responsibility for unmet expectations and makes corrective actions immediately.
Aware of the consequences for failure to complete the project.
Does not make excuses for being late for work.
Willing to answer for their own actions and performance.
Handles sensitive information with discretion and confidentiality.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has excellent influencing/negotiating skills.
Persuades others to consider alternative points of view.
Understanding what others need.
Ensures stakeholders are involved in the decision making process.
Develops a good rapport with others.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Supports new initiatives for organizational changes to improve effectiveness.
Is a leading force driving changes.
Able to get department employees to accept new changes.
Develops a strategy for implementing changes.
Assists others in understanding changes to the organization.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes a lot of pride in their work.
Is planful and organized.
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
Keeps themselves and others focused on constant improvement.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Engages in questioning to obtain necessary information and examine various alternatives.
A proficient conflict resolver who effectively navigates workplace disputes to maintain a harmonious and productive environment.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Fully grasps both party's interests and options.
Bases arguments on objective standards or criteria, such as market value, legal standards, or expert opinions.

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.