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
Stays up-to-date on emerging technologies.
Inspires others to learn new things.
Creates an environment that supports personal development and exploration.
Takes initiative for own learning and development.
Is committed to enhancing their own knowledge and skills.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to expand current job responsibilities.
Looks for ways to improve work processes and procedures.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand and learn new job skills.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Seeks opportunities for professional development.
Contributing fully to the extent of their skills
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for continuous learning.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks to obtain consensus or compromise.
Persuades others to consider alternative points of view.
Communicates effectively with others.
Attempts to persuade others rather than simply control them.
Able to express own goals and needs.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops innovative products or services.
Prioritizes technical skill development among employees to foster a culture of innovation and creativity.
Challenges assumptions about the way things work.
Assigns responsibilities to individuals for creating innovative ideas/products.
Offers innovative solutions to Company problems.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts setbacks and challenges as improvement opportunities
Holds others to high standards of achievement.
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Completes work promptly and efficiently.
Increased production by 20 percent.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps themselves and others focused on constant improvement.
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Produces high quality work.
Can be counted on to add value wherever they are involved.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a highly respected individual in the company.
Easily approachable.
Provides constructive feedback in a way that fosters acceptance and development.
Embraces the differences in individuals that comprise the team.
Is a committed and reliable partner.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets performance objectives for subordinates that encourages development opportunities.
Supports the successes of other employees.
Encourages employees through recognition of positive changes in behavior.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Is open to receiving feedback.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Anticipates the consequences to the business of different potential risk events.
Meets with customers to gain insights into their core needs and how to strategically serve them.
Understands the financial metrics used by the company.
Knows how to use financial information to make an impact on the organization.
Works cooperatively with others to implement business changes.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures everyone in the department is onboard with the current plan.
Develops plans to help manage expectations and project demands.
Plans for how to allocate time to specific activities.
Anticipates obstacles and ways to overcome them.
Closely follows the plan established for the department.

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.