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
Will participate in training classes even if offered outside of normal working hours.
Exhibits willingness to upgrade skills through additional training and education.
Enjoys learning new skills and techniques.
Inspires others to learn new things.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
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.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand and learn new job skills.
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
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for continuous learning.
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has excellent influencing/negotiating skills.
Seeks to obtain consensus or compromise.
Understanding what others need.
Able to express own goals and needs.
Persuades others to consider alternative points of view.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops new products and services.
Offers constructive improvements to existing systems.
Encourages open communication to ensure that all proposals are considered.
Solves problems with insight and understanding.
Challenges current procedures to develop other alternatives.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets challenging goals for the department.
Follows-up and takes action when goals are not met to ensure better results in the future.
Eliminates bureaucratic barriers to streamline processes.
Completes work promptly and efficiently.
Successfully launched the ABC project.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Produces high quality work.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Easily approachable.
Successfully resolves conflicts and grievances to a win-win solution.
Offers constructive criticism to have a positive impact on performance.
Respects other members of the team/department.
Uses tact, compassion, and sensitivity in interactions with others.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Tries to ensure employees are ready to move to the next level.
Creates opportunities for professional development.
Sets performance objectives for subordinates that encourages development opportunities.
Recognizes and celebrates accomplishments of others.
Supports the successes of other employees.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Creates strategic plans that conform with regulations and industry guidelines.
Aware of regulations that impact our business.
Understands the costs, profits, markets, and added value of issues.
Applies the knowledge of work processes to influence the achievement of business goals
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates effective project plans.
Sets the appropriate sequence of tasks to efficiently achieve the goal.
Sets up and monitors timeframes and plans
Assigns the right tasks to the right people and holds them accountable.
Has developed an effective strategic plan.

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.