Passion to Learn - 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

Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes initiative for own learning and development.
Exhibits willingness to upgrade skills through additional training and education.
Will participate in training classes even if offered outside of normal working hours.
Enjoys learning new skills and techniques.
Is open minded and curious about learning new skills.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Open to the suggestions from others.
Promotes training and development opportunities to enhance job performance.
Analyzes processes to determine areas for improvement.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to expand current job responsibilities.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for professional development.
Encourages employees to take courses relevant to their job.
Seeks opportunities for continuous learning.
Contributing fully to the extent of their skills
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Persuades others to consider alternative points of view.
Has excellent influencing/negotiating skills.
Ensures stakeholders are involved in the decision making process.
Communicates effectively with others.
Attempts to persuade others rather than simply control them.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Suggests new ideas at meetings.
Takes risks to advance important ideas.
Builds upon the ideas and solutions of others.
Creates a safe environment for idea-sharing.
Fosters a creative and innovative work environment.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Inspires others to work with a sense of urgency.
Makes use of talents of others to help achieve a high level of performance.
Is flexible in adjusting priorities to meet the demands of changing situations.
Rapidly completes tasks and assignments.
Follows-up and takes action when goals are not met to ensure better results in the future.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Produces high quality work.
Keeps themselves and others focused on constant improvement.
Can be counted on to add value wherever they are involved.
Demonstrates the functional or technical skills necessary to do their job.
Is planful and organized.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates willingness to work with others.
Anticipates the concerns of other employees.
Is open and approachable
Creates an atmosphere that supports the open expression of ideas
Strives for win/win solutions
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assigns tasks and responsibilities to develop skills of others.
Assesses employees' developmental needs.
Sets performance objectives for subordinates that encourages development opportunities.
Is open to receiving feedback.
Creates opportunities for professional development.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks the 'right' questions to size up or evaluate situations.
Views problems from a business perspective, opportunity, investment, risks, and anticipated results
Understands our competitors and their strengths and weaknesses.
Describes and summarizes data.
Interprets data to make informed business decisions.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Closely follows the plan established for the department.
Delegates role to team members to accomplish goals.
Accomplishes major tasks by breaking them into manageable pieces.
Determines the allocation of funds based on plans for future development.
Anticipates challenges and has plans to overcome them.

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

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

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