Problem Solving - 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

Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Generates alternative solutions to problems and challenges.
Implements effective solutions to critical problems.
Effective in solving problems.
Able to balance the needs of different people in a solution to a problem.
Makes judgments based upon relevant information.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Switches attention to more urgent tasks when necessary.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Assigns tasks based on skills of team members.
Prioritizes tasks for efficiency.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Consistently exhibits professionalism in interactions with employees.
Does not make excuses for missed deadlines.
Upholds ethical standards even when no one is watching.
Accepts accountability for their work.
Expects employees to accept the consequences of their actions.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does what was promised.
Fosters a high standard of ethics and integrity.
Develops trust and confidence from others.
Maintains strong relationships with others.
Follows tasks to completion.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Considers other's opinion and suggestions.
Asks others for their ideas and opinions.
Accepts the views of others.
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Knows how to obtain desired results with minimal losses.
Creates a risk profile for projects and teams.
Works effectively to mitigate risks.
Seeks to increase safety in the workplace.
Uses financial data to mitigate financial risks.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps accurate safety records.
Ensures compliance with safety regulations.
Is aware of OSHA safety guidelines.
Encourages others to attend safety training.
Develops a culture of safety.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Documents client interactions.
Creates high quality products for the clients.
Anticipates client needs.
Gets feedback from the client on a weekly basis.
Their activities reflect a strong focus on the client relationship.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is aware of what problems need to be solved.
Knows the BATNA (Best Alternative to a Negotiated Agreement) and is prepared to walk away if core interests are not met.
Thoroughly understands the interests and possibilities of both sides.
Always has a "game plan" prior to entering into negotiations.
Effectively sets the tone and agenda, creates rapport, and builds momentum at the start of negotiations.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Includes others in the decision making processes.
Forms working relationships with employees from other departments.
...treats others with respect and dignity.
Works effectively with people from other departments.
Treats others with respect and dignity.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Attends [Company] gatherings and social events.
Expresses loyalty and dedication to [Company] in interactions with others.
Follows existing procedures and processes.
Understands the use of [Company] products and services.
Understands how decisions impact other business units beyond their immediate department of work group.

56. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
57. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
58. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
59. Additional comments, if any for [Participant Name Here]'s assessment.