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
Recognizes the abilities and skills of self and others
Readily shares credit and gives others opportunity for visibility.
Makes people around them feel appreciated and valued.
Lets employees know when they have done well
Says "thank you" to show appreciation for work of others.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets performance objectives for subordinates that encourages development opportunities.
Encourages employees through recognition of positive changes in behavior.
Tries to ensure employees are ready to move to the next level.
Is open to receiving feedback.
Creates a work environment that fosters positive feedback to employees.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains strong relationships with others.
Follows tasks to completion.
Demonstrates sincerity in actions with others.
Accepts responsibility for mistakes.
Fosters an environment built upon trust.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates the analytical skills to do their job.
Takes a lot of pride in their work.
Is planful and organized.
Keeps themselves and others focused on constant improvement.
Can be counted on to add value wherever they are involved.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively organizes resources and plans
Listens and responds to issues and problems
...Produce Quality
Has great overall performance
Works well in this position.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Participates in safety training when offered.
Develops a sustainable safety culture.
Ensures compliance with safety regulations.
Performs work safely.
Committed to safety in the workplace.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Includes others in the decision making processes.
Treats others with respect and dignity.
Constructively receives criticism and suggestions from others.
Is able to see issues from others' perspectives.
Respects the opinions of other employees.

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.