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
Prioritizes plans based on a cost/benefit analysis.
Initiates the planning process by defining the scope of the project.
Develops strategic plans for ensuring competitiveness in the marketplace.
Creates a timeline to specify when each phase of the project should be concluded.
Divides complex tasks into smaller steps to measure progress toward a goal.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts responsibility for mistakes.
Does what was promised.
Establishes relationships of trust, honesty, fairness, and integrity.
Follows tasks to completion.
Fosters an environment built upon trust.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets relevant learning objectives and goals.
Grasps new ideas, concepts, technical, or business knowledge.
Pursues professional development opportunities when they arise.
Pursues self-improvement through continual learning.
Pursues learning that will enhance job performance.
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.
Builds open and trusting relationships.
Shows by their actions that they trust in the positive intentions of others.
Contributes to a positive and fun work environment.
Visibly supports and encourages diversity in style and background.
Cultural Awareness	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters a diverse workforce free from discrimination and harassment.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Is willing to include individuals with different cultural backgrounds on the team.
Helps other employees to become more culturally sensitive.
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies the source materials that will be needed.
Acquires and allocates internal and external resources needed for the project.
Organizes work and sets priorities as needed.
Estimates the duration for each phase of the project.
Able to adjust project schedule as needed to accommodate unforeseen issues.
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.
Selects the appropriate techniques for analysis.
Identifies the root cause of a problem.
Identifies problems and issues needing resolution.
Uses appropriate techniques to solve problems.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Holds employees accountable for their quality of work.
Encourages others to produce the highest quality work products.
Reflects on what is working and what could be improved.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Corrects issues in a timely manner.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Implements best practices within the department.
Offers constructive improvements to existing systems.
Creates a safe environment for idea-sharing.
Analyzes current procedures and identifies opportunities for improvement.
Searches for opportunities and innovative ways to improve the organization.
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
Takes immediate action on poor performance
Gives others development opportunities through project assignments and increased job responsibilities
Works to identify root causes of performance problems
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.