Performance - 360 Degree Feedback Survey Sample #6

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 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 and . 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
Sets a high standard for job performance.
Effective in performing his/her job.
Has great overall performance
Works effectively in the department.
...Overall Performance
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to demonstrate persuasiveness in pursuit of objectives.
Checks for understanding throughout conversations or group presentations/discussions
Communicates effectively with all levels of the organization.
Deals with difficult situations calmly and confidently.
Communications with department leadership
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a consistent process for prioritizing work.
Is aware of problems or issues that may affect the organization.
Acts like an owner when they make decisions.
Keeps supervisor informed of recent events.
Defines roles, rights, and responsibilities of employees.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates sincerity in actions with others.
Fosters a high standard of ethics and integrity.
Follows tasks to completion.
Does what was promised.
Protects the integrity and confidentiality of information
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep staff informed about what is happening in the company
Sets an example for others to follow
Is ready to offer help
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to develop, justify and present a budget.
Has strong technical/computer skills.
Takes responsibility for decisions.
Accurately implements contract provisions.
Implements and uses performance measures.
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.
Reflects on what is working and what could be improved.
Encourages others to achieve high quality standards.
Holds employees accountable for their quality of work.
Encourages others to produce the highest quality work products.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides clear expectations for employees.
Stays focused on meeting the needs of customers.
Directs team in prioritizing daily work activities
Inspires and motivates co-workers to be productive and energetic at work
Explains the "whys" behind organizational objectives
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to work with individuals at all levels of the Company.
Adapts management style to meet the needs of the individual or situation.
Effectively manages conflicts by dealing with them directly and immediately
Uses tact, compassion, and sensitivity in interactions with others.
Is a role model for others
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets clear goals for others to accomplish.
Avoids micromanaging their employees.
Provides support and resources needed to accomplish goals.
Encourages employees to solve problems on their own.
Encourages others to obtain necessary skills and training.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Finds opportunities to recognize others.
Compliments other people when they do good work
Is sincerely interested in the suggestions of co-workers
Lets employees know when they have done well
Readily shares credit and gives others opportunity for visibility.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Able to decline a poor strategy by proposing alternate strategies.

61. Overall, please rate the effectiveness of .
    

    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 's assessment.