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
Listens and responds to issues and problems
Shown significant improvement in job performance.
Has great overall performance
...Produce Quality
Works well in this position.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delivers messages with personal energy, enthusiasm, and conviction.
Informs supervisor about progress made on goals and objectives.
Maintains eye contact to foster direct communication.
Facilitates seamless communication across all management levels.
Uses ideas and perspectives to persuade others.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts personal responsibility for the timeliness of work.
Accepts personal responsibility for their actions.
Projects an image of transparency and trustworthiness in the administration of fair and equitable policies.
Does not make excuses for being late for work.
Takes full responsibility for project outcomes.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters a high standard of ethics 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
Keep staff informed about what is happening in the company
Is ready to offer help
Sets an example for others to follow
Delegate tasks effectively
Takes responsibility for things that go wrong
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Enthusiastic about taking on challenging projects.
Accurately implements contract provisions.
High attention to detail.
Takes responsibility for decisions.
Able to develop, justify and present a budget.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to identify quality issues critical to the organization.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Quickly addresses changes in quality of the products.
Sets benchmarks for quality improvements.
Is a role model for quality practices and standards.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Motivated by a strong desire to exceed performance standards.
Always willing to help coworkers to keep productions levels high.
Sets challenging goals to be achieved.
Exceeds performance requirements.
Sets objectives for the department.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sees values in the diversity of individuals on the team.
Maintains a high degree of honesty and integrity.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Promotes acceptance of diverse viewpoints from team members.
Creates an atmosphere that supports the open expression of ideas
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Acknowledges and appreciates employees for their proactive decision-making.
Recognizes the expertise that employees have in certain areas and allows them the freedom to operate as they see fit.
Sets goals to allow the employee to have more autonomy over their work.
Gives employees the freedom to set their own schedule.
Encourages employees to take the initiative when responding to an issue.
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.
Recognizes team members who offer a significant contribution to a project.
Finds opportunities to recognize others.
Recognizes the abilities and skills of self and others
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes decisions that yield more competitive advantages.
Detects changes in the environment and updates the strategic plan to address new opportunities or threats.
Focuses efforts on specific marketing strategies.
Scans both the internal and external environment to identify strategic opportunities to improve the organization.
Develops an organizational strategy for each functional area within the mission statement.

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.