Planning- 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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Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures staff are held accountable for following the department plan.
Works in an organized manner
Involves relevant coworkers in the development of the plan.
Always has a "Plan-B" ready if needed.
Develops proper plans to ensure seamless flow of materials through logistics.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures that all stakeholders have access to the information needed.
Upholds strong moral and ethical standards, even when faced with challenges or temptations to compromise.
Delivers on all promises made.
Is transparent, open and honest about their actions and decisions.
Responds courteously even when confronted with rude behavior to show that the principles of respect and kindness are unwavering, regardless of the situation.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Pursues learning that will enhance job performance.
Seeks opportunities to grow in skills and knowledge.
Shares best practices with others and learns from others.
Takes charge of their training and skills enhancement.
Improves on their skill sets.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates care and thoughtfulness in even the smallest tasks.
Reinforces the team's value and shared purpose.
Looks for ways to succeed in spite of any obstacles or circumstances.
Able to cope with changes.
Gives credit to individuals for their ideas and input, regardless of role or seniority.
Cultural Awareness	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates safe spaces for employees to share cultural perspectives and experiences.
Understands how implicit biases can affect decisions, communication and productivity.
Supports and mentors others that may have different cultural backgrounds.
Seeks to reduce obstacles in communication that might arise from cultural differences.
Is willing to include individuals with different cultural backgrounds on the team.
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has detailed knowledge about the project and can adapt the project plan as needed.
Works with customers and clients to assess their needs and define project parameters.
Conducts a risk assessment for the project.
Inspires others to accomplish goals and objectives.
Communicates the results of the project, at the conclusion, to all stakeholders.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prioritizes precision in the data collection process.
Uses analytical thinking to make desirable outcomes more probable.
Recognizes patterns, draws logical conclusions, and makes recommendations for action.
Considers both risks and costs alongside the potential benefits and success rates when making decisions.
Validates the accuracy of data collected.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Views quality issues as a system failure rather than an individual failure.
Demonstrates a strong commitment to achieving quality goals.
Analyzes quality improvement plans and initiatives.
Assists quality control inspectors.
Implements appropriate training to maintain high quality standards.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Regularly audits the company's innovation effectiveness.
Recognizes and rewards employees that are innovative.
Analyzes the competitive environment to determine where innovation would have the greatest impact.
Celebrates innovative achievements publicly to motivate others and reinforce the importance of innovation.
Utilizes disruptive innovation to help managers transform conventional business models, making products and services more accessible and affordable.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adapts coaching and mentoring approach to meet the style or needs of individuals
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Works to identify root causes of performance problems
Gives others development opportunities through project assignments and increased job responsibilities

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
53. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
54. Additional comments, if any for [Participant Name Here]'s assessment.