Partnering/Networking- 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

Partnering/Networking	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Partners with peers to obtain influence within the Company.
Collaborates with others to accomplish goals and objectives.
Creates the conditions for partnerships to grow and develop.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Immediately develops alternatives and solutions when presented with a problem or issue.
Moves forward on important projects.
Is the first to volunteer for assignments.
Pursues goals with action to achieve success.
Anticipates needs and takes pre-emptive action to address the issue.
Bias for Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes a large volume of work.
Motivates others to achieve or exceed goals
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Identifies ways to simplify work processes and reduce cycle times
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for continuous learning.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Contributing fully to the extent of their skills
Encourages employees to take courses relevant to their job.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Excellent at managing time.
Aligns the department's goals with the goals of the organization.
Maintains self-control when personally criticized.
Makes sure that employees understand how their work relates to organizational goals.
Maintains focus when handling several problems or tasks simultaneously.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyzes data and information from several sources and arrives at logical conclusions.
Selects the appropriate techniques for analysis.
Implements data validation techniques and methods.
Prioritizes various actions to be taken when solving a problem.
Identifies problems and issues needing resolution.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Always strives to produce the highest quality work products.
Reflects on what is working and what could be improved.
Encourages others to produce the highest quality work products.
Holds employees accountable for their quality of work.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Empowers employees to structure their work hours to maximize their productivity.
Expresses confidence in the abilities of others.
Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
Ensures employees understand what is being assigned to them.
Allows the employees to have flexible work schedules.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Addresses employee behavior problems effectively.
Helps employees to understand responsibilities, authority, and expectations.
Conducts regular performance appraisals and feedback.
Helps employees to maintain high personal standards.
Develops the skills and capabilities of others.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to see issues from others' perspectives.
...treats others with respect and dignity.
Helpful
Consistently demonstrates ability and willingness to trust others.
Works across boundaries within the organization.

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

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

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