Project Management - 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

Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Inspires others to accomplish goals and objectives.
Maintains costs and expenses within budget limits.
Regularly reviews project performance and goals.
Defines project outcomes based on customer requirements.
Works with customers and clients to assess their needs and define project parameters.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works cooperatively with others to implement changes.
Addresses organizational and departmental resistance to changes.
Effective in implementing new organizational vision and values.
Supports new initiatives for organizational changes to improve effectiveness.
Supports the Company's efforts to implement changes.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responds appropriately to unexplained or unanticipated events.
Effectively responds to critical situations to reduce potential for losses.
Able to adapt quickly to changing situations.
Rewards innovative experiments to try new ideas.
Works within constraints of the organization.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is someone you can trust.
Acts like an owner when they make decisions.
Accepts accountability for their actions and results.
Keeps their word and does what they say they will do.
Keeps supervisor informed of recent events.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Protects the integrity and confidentiality of information
Demonstrates honesty and truthfulness at all times.
Fosters a high standard of ethics and integrity.
Establishes relationships of trust, honesty, fairness, and integrity.
Accepts responsibility for mistakes.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Actively seeks feedback from others.
Asks others for their ideas and opinions.
Is visible and approachable.
Seeks feedback to enhance performance.
Accepts the views of others.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is not afraid to question a potential safety issue observed in the workplace.
Participates in safety training as applicable.
Identifies predictable hazards in the workplace.
Is aware of OSHA safety guidelines.
Encourages others to work safely.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Values the opinions of others.
Uses tact, compassion, and sensitivity in interactions with others.
Demonstrates willingness to work with others.
Creates an atmosphere that supports the open expression of ideas
Is a role model for others
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Acts as a resource without removing individual responsibility.
Responsible for setting the vision of the department.
Sets a good example.
Works in a way that makes others want to work with her/him.
Behavior is ethical and honest.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates a clear message that teamwork and collaboration are expected.
Communicates well with team members.
Actively participates in the work of teams; seeks and listens to others' contributions
Identifies and resolves conflicts within the team to increase team effectiveness
Fosters respect and understanding among team members

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.