Performance - 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

Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in performing his/her job.
Able to organize work.
...Produce Quality
Shown significant improvement in job performance.
Works effectively in the department.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures comprehension during conversations or group presentations.
Asks follow-up questions as needed.
Informs others about changes or developments in plans and goals.
Is an effective communicator
Confidently communicates across all organizational levels, including external stakeholders.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Commits to leading the initiatives to solving critical issues.
Accepts personal responsibility for producing high quality and timely work.
Continues to work diligently on a problem despite setbacks.
Works diligently for the success of the team.
Requires employees to submit monthly reports of the work they performed.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Follows tasks to completion.
Accepts responsibility for mistakes.
Demonstrates honesty and truthfulness at all times.
Does what was promised.
Maintains strong relationships with others.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep staff informed about what is happening in the company
Is ready to offer help
Delegate tasks effectively
Sets an example for others to follow
Takes responsibility for things that go wrong
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Strong organizational skills to keep the workspace and department in order
Completes reports on-time.
Able to develop, justify and present a budget.
High attention to detail.
Accurately implements contract provisions.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Corrects issues in a timely manner.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Reflects on what is working and what could be improved.
Encourages others to produce the highest quality work products.
Encourages employees to produce the best quality products.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps the team maintain focus on the goals.
Establishes benchmarks to be met when working on projects.
Directs team in prioritizing daily work activities
Identifies the steps needed to accomplish the results.
Achieves performance benchmarks.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively manages conflicts by dealing with them directly and immediately
Attends to both the content and the context of what was being said.
Honest about owning up to mistakes made.
Creates diverse teams of individuals with different backgrounds, skills, and abilities.
Uses tact, compassion, and sensitivity in interactions with others.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes that employees may need flexibility in their working hours.
Assigns tasks that are within the skill levels of employees.
Fosters a sense of ownership and accountability for the process/product.
Listens to the ideas employees have for solving issues.
Trusts employees to complete tasks assigned.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is sincerely interested in the suggestions of co-workers
Offers recognition in a timely manner.
Says "thank you" to show appreciation for work of others.
Compliments other people when they do good work
Makes people around them feel appreciated and valued.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes strategic changes to stay ahead of changes in the business environment.
Develops a strategic vision for the future.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.
Recognizes the need for strategically developing unique capabilities.
Gives adequate consideration to the time and resources available.

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

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

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