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

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Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates plans to handle complex, multi-faceted projects.
Makes plans and follows through.
Determines what supplies/equipment will be needed for the project.
Open to input from others into the plan for development of the strategic plan.
Anticipates the impacts of strategic plans.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates sincerity in actions with others.
Fosters a high standard of ethics and integrity.
Develops trust and confidence from others.
Maintains strong relationships with others.
Establishes relationships of trust, honesty, fairness, and integrity.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes charge of their training and skills enhancement.
Builds on their strengths while addressing their weaknesses.
Participates in regular training offered.
Pursues self-improvement through continual learning.
Sets relevant learning objectives and goals.
Attitude	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Contributes to a positive and fun work environment.
Is gracious and professional in their interactions with others.
Builds open and trusting relationships.
Contributes to a positive work environment.
Shows by their actions that they trust in the positive intentions of others.
Cultural Awareness	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters a diverse workforce free from discrimination and harassment.
Understands how implicit biases can affect decisions, communication and productivity.
Values the opinions of diverse groups and individual.
Seeks to reduce obstacles in communication that might arise from cultural differences.
Understands the impact that our culture may have on interactions between individuals.
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Defines project outcomes based on customer requirements.
Uses appropriate software tools to assist in managing the project.
Maintains costs and expenses within budget limits.
Implements project metrics to track progress.
Works with both internal and external individuals to facilitate the project.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops quantitative measures of performance.
Is open minded and receptive to considering opposing evidence.
Integrates customer feedback loops, market trends, social media influence, and brand perception to create a cohesive strategy.
Analyzes financial statements over multiple periods to identify patterns and trends in revenue, expenses, and profits.
Considers the context in which information was produced.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Successfully implements quality controls within the department.
Encourages others to produce the highest quality work products.
Ensures the hiring of employees who are dedicated to delivering exceptional quality in every aspect of their work.
Corrects issues in a timely manner.
Understands and uses established quality procedures/controls.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies the opportunities created by innovations.
Embraces disruptive strategies enabling the organization to create groundbreaking advancements that outpace competitors.
Effective in bringing up new ideas.
Creates new and efficient processes.
Facilitates networking events or brainstorming sessions where employees can share insights and inspirations.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets and clearly communicates expectations, performance goals, and measurements to others
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Works to identify root causes of performance problems
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.