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
Able to organize work.
Has great overall performance
Effectively organizes resources and plans
Sets a high standard for job performance.
...Overall Performance
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
An effective listener who is responsive to information needs.
Deals with difficult situations calmly and confidently.
Delivers well-prepared, informed, poised and succinct presentations.
Listens to others' points of view with an open mind
Able to demonstrate persuasiveness in pursuit of objectives.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is someone you can trust.
Encourages employees to take on greater responsibilities.
Creates a consistent process for prioritizing work.
Takes responsibility for results.
Defines roles, rights, and responsibilities of employees.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts responsibility for mistakes.
Establishes relationships of trust, honesty, fairness, and integrity.
Demonstrates sincerity in actions with others.
Protects the integrity and confidentiality of information
Develops trust and confidence from others.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
Sets an example for others to follow
Makes you feel enthusiastic about your work
Delegate tasks effectively
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accurately implements contract provisions.
Implements and uses performance measures.
Has strong technical/computer skills.
Takes responsibility for decisions.
Enthusiastic about taking on challenging projects.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyze what occurred and re-adjusts accordingly when goals are not met.
Always strives to produce the highest quality work products.
Corrects issues in a timely manner.
Encourages others to achieve high quality standards.
Encourages others to produce the highest quality work products.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages a high-energy, fun work environment and coaches others on how to do the same
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Stays focused on meeting the needs of customers.
Provides clear expectations for employees.
Directs team in prioritizing daily work activities
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively manages conflicts by dealing with them directly and immediately
Is trusted by peers and co-workers; others are willing to confide in him/her
Builds a strong rapport with co-workers.
Demonstrates willingness to work with others.
Anticipates the concerns of other employees.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gives employees autonomy to complete tasks on their own.
Distributes the workload to subordinates.
Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
Recognizes the accomplishments of employees when they complete important assignments.
Demonstrates confidence in the abilities of subordinates.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Lets employees know when they have done well
Makes people around them feel appreciated and valued.
Reinforces and rewards employees for accomplishing necessary goals.
Recognizes the abilities and skills of self and others
Finds opportunities to recognize others.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands their role within the organization.
Understands & contributes to development of strategic goals.
Communicates goals and objectives to employees.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Able to decline a poor strategy by proposing alternate strategies.

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.