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

Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Determines what supplies/equipment will be needed for the department.
Develops a strategic plan to reduce costs in the department.
Understands the process for developing strategic plans for the organization.
Open to input from others into the plan for the project.
Makes strategic and tactical decisions to guide the logistics process.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Follows tasks to completion.
Accepts responsibility for mistakes.
Protects the integrity and confidentiality of information
Does what was promised.
Maintains strong relationships with others.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Builds on their strengths while addressing their weaknesses.
Takes the initiative to learn new skills.
Views setbacks as opportunities to learn from.
Pursues learning that will enhance job performance.
Takes charge of their training and skills enhancement.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Visibly supports and encourages diversity in style and background.
Shows by their actions that they trust in the positive intentions of others.
Works to eliminate unnecessary work or barriers that get in others' way.
Is gracious and professional in their interactions with others.
Contributes to a positive work environment.
Cultural Awareness	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Respects the views offered by individuals with different cultural backgrounds.
Effective in working with individuals with a variety of cultural backgrounds.
Understands the impact that our culture may have on interactions between individuals.
Treats others with dignity and respect.
Understands how implicit biases can affect decisions, communication and productivity.
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Regularly measures and records progress of the project.
Locates the financial resources to budget for the project.
Identifies potential risks that could pose challenges to the project timeline.
Presents clear and accurate status information to required constituents.
Meets with stakeholders to determine the requirements for the project.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies opportunities for progress and innovation.
Uses appropriate techniques to solve problems.
Identifies problems and issues needing resolution.
Identifies the root cause of a problem.
Implements data validation techniques and methods.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is flexible in addressing issues related to quality.
Corrects issues in a timely manner.
Develops processes to enhance quality standards.
Creates a culture of quality standards in the workplace.
Encourages others to produce the highest quality work products.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Offers constructive improvements to existing systems.
Searches for opportunities and innovative ways to improve the organization.
Develops new products and services.
Builds upon the ideas and solutions of others.
Takes risks to advance important ideas.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes immediate action on poor performance
Sets and clearly communicates expectations, performance goals, and measurements to others
Provides ongoing feedback to co-workers on their development progress
Adapts coaching and mentoring approach to meet the style or needs of individuals
Works to identify root causes of performance problems

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.