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
Responds quickly and appropriately to unforeseen problems.
Assigns project roles to the team members.
Researches potential solutions to meet the constraints of the project.
Establishes the sequence of steps needed to complete the project.
Organizes work and sets priorities as needed.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is an inspiration for others to accept the recent changes.
Inspires others to accept changes.
Develops a strategy for implementing changes.
Facilitates change with minimal resistance.
Addresses organizational and departmental resistance to changes.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains open communication with other departments.
Rewards risky ideas that may yield significant benefits.
Reduces risk to a manageable level.
Identifies opportunities that may be created by taking specific risks.
Monitors enterprise risk management activities for their impact and effectiveness on mitigating risks.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Exhibits a sense of ownership of outcomes and results.
Takes full responsibility for team's lack of progress.
Encourages employees to take on greater responsibilities.
Holds employees accountable for their participation in solving department problems and issues.
Informs the supervisor if progress on the task has been delayed.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains strong relationships with others.
Develops trust and confidence from others.
Fosters an environment built upon trust.
Does what was promised.
Demonstrates honesty and truthfulness at all times.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Actively seeks feedback from others.
Looks to others for input.
Accepts the views of others.
Open to the suggestions of others.
Is visible and approachable.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Participates in safety training as applicable.
Develops a culture of safety.
Performs work safely.
Develops safety guidelines for the department.
Commits adequate resources toward safety measures.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a committed and reliable partner.
Gives constructive feedback on performance reviews.
A good listener who is attentive to others.
Uses tact, compassion, and sensitivity in interactions with others.
Is a highly respected individual in the company.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
...takes personal responsibility for results.
Sets a good example
Completes assigned work tasks.
Works in a way that makes others want to work with her/him.
Responsible for setting the vision of the department.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Shares pertinent information with all members of the team.
Listens to other team members without interrupting them.
Actively participates as a team member
Helps the team make good decisions even under conditions of uncertainty.
Demonstrates a willingness to work with the team.

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.