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
Shown significant improvement in job performance.
...Produce Quality
Sets a high standard for job performance.
Effectively organizes resources and plans
Able to organize work.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Presents clear and persuasive information in reports.
Effectively delivers presentations to teams, large groups, and diverse audiences
Overcomes barriers that prevent effective communication.
Keeps open and regular communication with others.
Able to deliver presentations.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts the consequences for their actions.
Follows through on commitments made.
Accepts personal responsibility for producing high quality and timely work.
Holds employees accountable for completing the project successfully.
Lets supervisor know of any setbacks to the progress on achieving goals.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters an environment built upon trust.
Develops trust and confidence from others.
Does what was promised.
Maintains strong relationships with others.
Accepts responsibility for mistakes.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes you feel enthusiastic about your work
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
Sets an example for others to follow
Is ready to offer help
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Enthusiastic about taking on challenging projects.
Strong organizational skills to keep the workspace and department in order
High attention to detail.
Able to develop, justify and present a budget.
Implements and uses performance measures.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Quickly addresses changes in quality of the products.
Encourages employees to produce the best quality products.
Adopts, integrates, and disseminates quality guidelines and standards.
Assesses strengths and weaknesses of various quality initiatives.
Sets benchmarks for quality improvements.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Strives to achieve high volume of output.
Makes changes to the plans if it will result in increased output.
Persists in seeking objectives despite obstacles or setbacks.
Makes sure employees have the resources they need to achieve their results.
Prioritizes tasks to best achieve the results.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is thoughtful and honest about the feedback they give others.
Offers praise to colleagues who have successfully completed major projects.
Applies appropriate communication techniques to the situation.
Respects other members of the team/department.
Works diligently to assist customers in finding the right products.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assigns important tasks to subordinates.
Encourages employees to solve problems on their own.
Encourages employees to make informed decisions based on their own judgment and reasoning.
Assigns tasks that allow employees to use their critical thinking skills.
Allows employees to participate in the workload of the department.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Lets employees know when they have done well
Says "thank you" to show appreciation for work of others.
Recognizes team members who offer a significant contribution to a project.
Reinforces and rewards employees for accomplishing necessary goals.
Is sincerely interested in the suggestions of co-workers
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Aligns cross-functional teams to the strategic plan.
Creates a vision for the organization based on how the organization should appear in the future.
Ensures adherence to the strategy to sustain achievement of targeted levels of organizational performance.
Creates values statement to ensure all employees are working under the same guiding principles.
Identifies and focuses resources on strategic growth opportunities.

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.