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

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Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works effectively in the department.
Has great overall performance
...Produce Quality
Effectively organizes resources and plans
Shown significant improvement in job performance.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Maintains an open-door policy to be available for answers and guidance when needed.
Ready to offer feedback, even if it involves tough critiques.
Provides the reasoning behind choices and actions.
Communicates Corporate initiatives in a relevant and actionable manner to employees within his/her organization.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Consults with the supervisor before engaging in new procedures that have some risk.
Accepts personal responsibility for the timeliness of work.
Takes personal responsibility for the quality of their work.
Takes ownership of mistakes and learns from them.
Holds employees accountable for their participation in solving department problems and issues.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Conducts regular audits of data protection practices.
Follows ethical standards and principles, regardless of the situation.
Keeps confidential information secure and respects the privacy of team members.
Acts with integrity to gain the trust and confidence of others.
Responds promptly to emails and phone messages to show respect for others' time and demonstrate reliability.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Acknowledges and celebrates when employees take initiative or solve problems on their own.
Supports employees in using their own judgment.
Demonstrates emotional self-awareness and control when navigating tense or high-stakes situations.
Organizes and sequences tasks based on urgency, impact, and resource availability.
Monitors the effectiveness of resource allocation decisions and makes adjustments as needed.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets up and oversees administrative policies and procedures for offices or organizations.
Directs or coordinates the supportive services department of a business, agency, or organization.
Scans drawings and documents.
Prioritizes tasks to be completed within pre-established deadlines.
Collaborates with others from various departments (e.g., sales, engineering, finance) to ensure accurate and comprehensive responses.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Quickly identifies critical issues impacting quality.
Leads others to adopt excellent quality standards and practices.
Addresses issues soon after they are detected.
Effectively coordinates with other departments to improve quality.
Verifies the correct materials were used in the installation.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Achieves long and short-term goals.
Prioritizes tasks based on impact and urgency to optimize resource allocation.
clearly defines roles and expectations.
Reassesses KPIs and success metrics when external factors shift the playing field.
Makes sure employees have the resources they need to achieve their results.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Offers praise to colleagues who have successfully completed major projects.
Assists employees that need help.
Applies appropriate communication techniques to the situation.
Uses tact, compassion, and sensitivity in interactions with others.
Is willing to lend a hand to those in the department who need help.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Values the opinions of others.
Willing to share in the decision making process.
Expresses confidence in the abilities of others.
Encourages employees to expand their skills in order to take on greater responsibilities.
Is confident in the abilities of employees assigned important tasks.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops recognition programs that are aligned with the organization's overall mission and core values.
Creates awards at specific intervals (monthly, quarterly, annually) during the year.
Offers specific and public verbal encouragement to employees.
Is sincerely interested in the suggestions of co-workers.
Knows which employees complete the most work.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Coordinates the implementation of the strategy with stakeholders.
Scans both the internal and external environment to identify strategic opportunities to improve the organization.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Aligns cross-functional teams to the strategic plan.
Creates a vision for the organization based on how the organization should appear in the future.

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.