Recognition- 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

Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Readily shares credit and gives others opportunity for visibility.
Is sincerely interested in the suggestions of co-workers
Offers recognition in a timely manner.
Reinforces and rewards employees for accomplishing necessary goals.
Makes people around them feel appreciated and valued.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets performance objectives for subordinates that encourages development opportunities.
Assigns tasks and responsibilities to develop skills of others.
Creates a work environment that fosters positive feedback to employees.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Provides constructive feedback to others.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters a high standard of ethics and integrity.
Protects the integrity and confidentiality of information
Develops trust and confidence from others.
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters an environment built upon trust.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates the functional or technical skills necessary to do their job.
Takes a lot of pride in their work.
Can be counted on to add value wherever they are involved.
Is planful and organized.
Keeps themselves and others focused on constant improvement.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets a high standard for job performance.
...Produce Quality
Works well in this position.
Able to organize work.
Shown significant improvement in job performance.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates accurate and effective measures of safety.
Participates in safety training when offered.
Develops a culture of safety.
Participates in safety training as applicable.
Supports safety programs and procedures.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
...treats others with respect and dignity.
Works effectively with people from other departments.
Forms working relationships with employees from other departments.
Is able to see issues from others' perspectives.
Constructively receives criticism and suggestions from others.

36. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
37. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
38. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
39. Additional comments, if any for [Participant Name Here]'s assessment.