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
Ensures everyone in the department is onboard with the current plan.
Anticipates resources needed to successfully implement a plan or project.
Ensures staff are held accountable for following the department plan.
Develops good plans used for logistics.
Adjusts plans as needed according to situational/strategic changes.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates sincerity in actions with others.
Accepts responsibility for mistakes.
Protects the integrity and confidentiality of information
Maintains strong relationships with others.
Demonstrates honesty and truthfulness at all times.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Improves on their skill sets.
Shares best practices with others and learns from others.
Pursues learning that will enhance job performance.
Seeks opportunities to grow in skills and knowledge.
Pursues self-improvement through continual learning.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works to eliminate unnecessary work or barriers that get in others' way.
Shows by their actions that they trust in the positive intentions of others.
Visibly supports and encourages diversity in style and background.
Contributes to a positive work environment.
Treats all people fairly and with respect.
Cultural Awareness	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Understands how implicit biases can affect decisions, communication and productivity.
Is responsive to individuals from other cultures.
Is open and honest in communications with individuals from other cultures.
Participates in cultural training sessions/classes.
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains costs and expenses within budget limits.
Defines project outcomes based on customer requirements.
Able to adjust project schedule as needed to accommodate unforeseen issues.
Inspires others to accomplish goals and objectives.
Regularly reviews project performance and goals.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prioritizes various actions to be taken when solving a problem.
Uses appropriate techniques to solve problems.
Balances risks and costs with the rewards and probabilities of success when decisions.
Identifies opportunities for progress and innovation.
Asks the "right" questions to size up or evaluate situations.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Always strives to produce the highest quality work products.
Encourages others to achieve high quality standards.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Corrects issues in a timely manner.
Encourages others to produce the highest quality work products.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Finds creative ways to get things done with limited resources.
Challenges current procedures to develop other alternatives.
Searches for opportunities and innovative ways to improve the organization.
Creates a safe environment for idea-sharing.
Analyzes current procedures and identifies opportunities for improvement.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gives others development opportunities through project assignments and increased job responsibilities
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Sets and clearly communicates expectations, performance goals, and measurements to others
Takes immediate action on poor performance

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.