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.
Has developed an effective strategic plan.
Initiates the planning process by defining the scope of the project.
Efficiently manages deadlines.
Is good at planning for the "unexpected".
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains strong relationships with others.
Protects the integrity and confidentiality of information
Develops trust and confidence from others.
Demonstrates sincerity in actions with others.
Follows tasks to completion.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Pursues professional development opportunities when they arise.
Pursues learning that will enhance job performance.
Grasps new ideas, concepts, technical, or business knowledge.
Views setbacks as opportunities to learn from.
Sets relevant learning objectives and goals.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Contributes to a positive work environment.
Visibly supports and encourages diversity in style and background.
Shows by their actions that they trust in the positive intentions of others.
Is gracious and professional in their interactions with others.
Treats all people fairly and with respect.
Cultural Awareness	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Respects others regardless of age, race, gender, nationality, or disability.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Understands what customs and etiquette are important for individuals from other cultures.
Recognizes and values individual and cultural differences.
Supports and mentors others that may have different cultural backgrounds.
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures work is completed to the appropriate standards.
Plans and implements responses to potential threats to the success of the project.
Acquires and allocates internal and external resources needed for the project.
Correctly estimates the cost of supplies for the project.
Presents clear and accurate status information to required constituents.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks the "right" questions to size up or evaluate situations.
Identifies problems and issues needing resolution.
Uses appropriate techniques to solve problems.
Analyzes data and information from several sources and arrives at logical conclusions.
Implements data validation techniques and methods.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Engages and leads staff in implementation of new quality procedures.
Communicates with team members regarding best quality practices.
Adopts, integrates, and disseminates quality guidelines and standards.
Holds employees accountable for their quality of work.
Assesses strengths and weaknesses of various quality initiatives.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is open to innovative ideas.
Encourages others to experiment and learn from their mistakes without fear of retribution.
Participates in cross-functional innovation teams.
Embraces disruptive strategies enabling the organization to create groundbreaking advancements that outpace competitors.
Fosters a creative and innovative work environment.
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
Sets and clearly communicates expectations, performance goals, and measurements to others
Adapts coaching and mentoring approach to meet the style or needs of individuals
Provides ongoing feedback to co-workers on their development progress
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.