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
Works well in this position.
Sets a high standard for job performance.
...Produce Quality
Effectively organizes resources and plans
Has great overall performance
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides straightforward and brief directions.
Transforms complicated ideas into simple ones.
Adapts language and terminology to meet the needs of the audience.
Makes the complex simple.
Keeps open and regular communication with others.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Requires employees to submit monthly reports of the work they performed.
Takes responsibility for results.
Projects an image of transparency and trustworthiness in the administration of fair and equitable policies.
Takes responsibility for seeing the project through to completion.
Consistently exhibits professionalism in interactions with employees.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does what was promised.
Protects the integrity and confidentiality of information
Fosters a high standard of ethics and integrity.
Fosters an environment built upon trust.
Demonstrates sincerity in actions with others.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets an example for others to follow
Delegate tasks effectively
Is ready to offer help
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has strong technical/computer skills.
Accurately implements contract provisions.
Enthusiastic about taking on challenging projects.
Takes responsibility for decisions.
Implements and uses performance measures.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Implements appropriate training to maintain high quality standards.
Provides advice and guidance to team members on improving quality controls.
Investigates critical incidents that impact quality.
Implements quality control feedback loops to enhance services and products.
Verifies the operators have the necessary equipment and supplies to ensure high quality.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure employees have the resources they need to achieve their results.
Determines the best approach to achieving the expected results.
Determines the parts of the project that need completed first.
Is a high achiever.
Willing to take on new assignments to help increase production.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Considers the other individual's point of view.
Assists employees that need help.
Values the opinions of others.
Gives constructive feedback on performance reviews.
Respectful of the opinions and ideas of others.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gives responsibility for making important decisions to employees.
Gives new tasks to employees.
Sets clear goals for others to accomplish.
Includes others in the decision making process.
Gives employees important tasks to expand their career options.
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 the abilities and skills of self and others
Readily shares credit and gives others opportunity for visibility.
Makes people around them feel appreciated and valued.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops a corporate strategy to establish business operations in different locations.
Uses strategic thinking to make better strategic decisions.
Understands & contributes to development of strategic goals.
Strategically positions resources to meet the needs of field based employees.
Identifies sources for developing a global competitive advantage for the company.

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.