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
Defines project outcomes based on customer requirements.
Inspires others to accomplish goals and objectives.
Organizes work and sets priorities as needed.
Responds quickly and appropriately to unforeseen problems.
Develops performance measures for various aspects of the project.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in implementing new organizational vision and values.
Inspires others to want to change.
Facilitates change with minimal resistance.
Adopts changes to set and example for others to follow.
Is a leading force driving changes.
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Rewards innovative experiments to try new ideas.
Seeks to maintain the long-term viability of the Company.
Develops policies for risk management.
Develops appropriate strategies to minimize risks.
Maintains open communication with other departments.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps supervisor informed of recent events.
Tackles issues head on and finds solutions.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Encourages employees to take on greater responsibilities.
Is aware of problems or issues that may affect the organization.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains strong relationships with others.
Follows tasks to completion.
Fosters a high standard of ethics and integrity.
Does what was promised.
Fosters an environment built upon trust.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Open to the suggestions of others.
Shares past experiences with others as learning opportunities.
Seeks feedback to enhance performance.
Actively seeks feedback from others.
Looks to others for input.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops safety guidelines for the department.
Is aware of OSHA safety guidelines.
Works to implement corrective safety measures.
Encourages others to attend safety training.
Supports safety programs and procedures.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Anticipates the concerns of other employees.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Is a role model for others
Applies appropriate communication techniques to the situation.
Successfully resolves conflicts and grievances to a win-win solution.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Acts as a resource without removing individual responsibility.
Sets a good example.
Is a person you can trust.
...takes personal responsibility for results.
Holds herself / himself accountable to goals / objectives
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages others to share ideas to develop team cohesion
Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
Creates a climate that encourages team participation.
Actively participates in the work of teams; seeks and listens to others' contributions
Recognizes and respects the contributions and needs of each individual.

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.