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
Persists until goals are achieved and commitments are met.
Actively seeks to learn by asking questions and listening to all store associates.
Holds self and associates accountable for goal achievement.
Critiques own performance and learns from experience as a source of continuous improvement.
Demonstrates through personal behavior the commitment to high standards of performance.
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.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Analyzes processes to determine areas for improvement.
Looks for ways to improve work processes and procedures.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks opportunities for continuous learning.
Seeks opportunities for professional development.
Contributing fully to the extent of their skills
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Allows employees to fully participate in employee training and professional development.
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.
Attempts to persuade others rather than simply control them.
Communicates effectively with others.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyzes current procedures and identifies opportunities for improvement.
Creates a safe environment for idea-sharing.
Suggests new ideas at meetings.
Searches for opportunities and innovative ways to improve the organization.
Encourages open communication to ensure that all proposals are considered.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts setbacks and challenges as improvement opportunities
Completes work to a high technical standard
Completes work to given time frame and to budget
Systematically works to improve the organization
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps themselves and others focused on constant improvement.
Is planful and organized.
Produces high quality work.
Demonstrates the analytical skills to do their job.
Takes a lot of pride in their work.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses knowledge and charisma rather than position, power, or coercion to influence others
Applies appropriate communication techniques to the situation.
Comes across as credible, knowledgeable and sincere
Values the opinions of others.
Able to work with individuals at all levels of the Company.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets performance objectives for subordinates that encourages development opportunities.
Assigns tasks and responsibilities to develop skills of others.
Supports the successes of other employees.
Recognizes and celebrates accomplishments of others.
Creates a work environment that fosters positive feedback to employees.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands complex issues and problems.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Applies the knowledge of work processes to influence the achievement of business goals
Asks the 'right' questions to size up or evaluate situations.
Considers impact of actions on other areas of the organization.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Makes plans and follows through.
Able to identify the needs of the department before a major change.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Delegates role to team members to accomplish goals.

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.