Punctuality - 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

Punctuality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains an efficient schedule of activities.
Avoids making personal phone calls during working hours.
Arrives to meetings on time.
Conducts appointments at scheduled start time.
Responds to requests for information in a timely manner.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is attentive to emotional cues and interprets others' feelings correctly.
Able to understand others' points of view.
Is able to manage their own emotions.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Acts decisively in frequently changing and uncertain environment.
Able to adapt to new situations.
Willing to try new ideas.
Open to the perspectives/viewpoints of others.
Implements changes as a result of having listened to employees
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts the consequences for their actions.
Continues to work diligently on a problem despite setbacks.
Develops goals and establishes objective measures of success.
Holds employees accountable for their participation in solving department problems and issues.
Expects employees to accept the consequences of their actions.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for things that go wrong
Is ready to offer help
Sets an example for others to follow
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Supervisory Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures employees know what they need to complete during the shift.
Values the opinions of subordinates.
Effectively uses rewards to help motivate employees.
Works well with the team members.
Meets with employees at the end of the job to debrief them.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Motivated to exceed performance goals.
Met required benchmarks for the position.
Systematically works to improve the organization
Increased revenue for the company.
Sets performance metrics to measure achievement or attainment of goals.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
Explains regulations and procedures to others as required.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Performs regular compliance audits.
Works quickly to implement changes in regulations.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains a strategic focus to sustain competitiveness in changing business environments.
Able to formulate strategy at the corporate level.
Creates a mission statement describing the purpose for the organization.
Creates a strategy to pursue and maintain a competitive advantage in business.
Recognizes the need for strategically developing unique capabilities.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Impresses upon others the important aspects of [Company].
Understands the use of [Company] products and services.
Expresses loyalty and dedication to [Company] in interactions with others.
Attends [Company] gatherings and social events.
Follows existing procedures and processes.

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.