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
Open to input from others into the plan for development of the strategic plan.
Determines the steps required for completion of a task.
Ensures staff are held accountable for following the department plan.
Encourages others to follow the plan.
Develops a detailed plan outlining tasks, resources, timelines, and deliverables.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Protects the integrity and confidentiality of information
Accepts responsibility for mistakes.
Does what was promised.
Fosters a high standard of ethics and integrity.
Demonstrates sincerity in actions with others.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes the initiative to learn new skills.
Is open to new ideas and concepts.
Takes charge of their training and skills enhancement.
Grasps new ideas, concepts, technical, or business knowledge.
Pursues self-improvement through continual learning.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Treats all people fairly and with respect.
Contributes to a positive work environment.
Shows by their actions that they trust in the positive intentions of others.
Is gracious and professional in their interactions with others.
Builds open and trusting relationships.
Cultural Awareness	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Functions effectively within various cultural contexts.
Understands what customs and etiquette are important for individuals from other cultures.
Seeks out different viewpoints and benefits from different perspectives.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Is open and honest in communications with individuals from other cultures.
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Determines the project scope.
Coordinates timelines, events and tasks with various sub-groups within the project.
Responds quickly and appropriately to unforeseen problems.
Adds the necessary time buffers to avoid the project getting behind schedule.
Uses appropriate technology to efficiently communicate with team members.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyzes data and information from several sources and arrives at logical conclusions.
Asks the "right" questions to size up or evaluate situations.
Implements data validation techniques and methods.
Prioritizes various actions to be taken when solving a problem.
Uses appropriate techniques to solve problems.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Investigates critical incidents that impact quality.
Communicates quality standards that are easily by employees.
Provides advice and guidance to team members on improving quality controls.
Views quality issues as a system failure rather than an individual failure.
Effectively works with Quality Control (QC) engineers.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyzes current procedures and identifies opportunities for improvement.
Implements best practices within the department.
Challenges current procedures to develop other alternatives.
Suggests new ideas at meetings.
Takes risks to advance important ideas.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides ongoing feedback to co-workers on their development progress
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Takes immediate action on poor performance
Sets and clearly communicates expectations, performance goals, and measurements to others

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.