Quality - 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

Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to produce the best quality products.
Holds employees accountable for their quality of work.
Always strives to produce the highest quality work products.
Reflects on what is working and what could be improved.
Encourages others to produce the highest quality work products.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Stays focused on meeting the needs of customers.
Explains the "whys" behind organizational objectives
Directs team in prioritizing daily work activities
Encourages a high-energy, fun work environment and coaches others on how to do the same
Does not become distracted by non-issues or interruptions.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works effectively during periods of change.
Willing to try new ideas.
Adapts to circumstances as needed.
Can handle changes without complaining.
Implements changes as a result of having listened to employees
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for results.
Defines roles, rights, and responsibilities of the team.
Takes ownership of mistakes and learns from them.
Keeps supervisor informed of recent events.
Creates a consistent process for prioritizing work.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to control their own emotions.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
Is ready to offer help
Delegate tasks effectively
Makes you feel enthusiastic about your work
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps informed of various regulations and procedures.
Addresses issues quickly before they develop into major problems.
Explains regulations and procedures to others as required.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Ensures regulations are followed as required.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Forms strong client relationships
Satisfies client needs.
Obtains feedback to ensure client needs are being met.
Ensures client commitments and requirements are met or exceeded
Is pro-active in dealing with clients and addressing their needs.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Helps employees to understand responsibilities, authority, and expectations.
Addresses employee behavior problems effectively.
Provides clear, motivating, and constructive feedback.
Develops the skills and capabilities of others.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to clearly express thoughts and concerns.
Understands the expectations of other parties in the negotiation.
Changes communication styles to meet the listener's needs.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Establishes clear communications to avoid misunderstandings.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Impresses upon others the important aspects of [Company].
Attends [Company] gatherings and social events.
Understands the "basics" as to how [Company] functions/operates.
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.

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.