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
Supports the efforts of other employees in implementing solutions to problems.
Is able to see issues from others' perspectives.
...treats others with respect and dignity.
Includes others in the decision making processes.
Consistently demonstrates ability and willingness to trust others.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides ongoing feedback to co-workers on their development progress
Adapts coaching and mentoring approach to meet the style or needs of individuals
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
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willing to answer for their own actions and performance.
Recognizes when a mistake is made and works to correct the issue.
Takes responsibility for seeing the project through to completion.
Able to complete required tasks on time and delivered expected results.
Consistently strives to meet high standards of excellence.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops a good rapport with others.
Ensures stakeholders are involved in the decision making process.
Able to express own goals and needs.
Attempts to persuade others rather than simply control them.
Communicates effectively with others.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a leading force driving changes.
Facilitates change with minimal resistance.
Assists others in understanding changes to the organization.
Effective in dealing with ambiguous and challenging situations.
Develops a strategy for implementing changes.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is planful and organized.
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
Keeps themselves and others focused on constant improvement.
Takes a lot of pride in their 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.
Finds shared interests and solutions that benefit all parties involved.
Manages emotions to reduce the impact of negativity.
Understands the other person's needs, concerns, and motivations.
Able to distinguish and navigate between different negotiation strategies and styles.

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.