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 individuals for a specific outstanding achievement.
Lets employees know when they have done well
Recognizes team members who offer a significant contribution to a project.
Readily shares credit and gives others opportunity for visibility.
Offers recognition in a timely manner.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Supports the successes of other employees.
Assigns tasks and responsibilities to develop skills of others.
Assesses employees' developmental needs.
Sets performance objectives for subordinates that encourages development opportunities.
Creates a work environment that fosters positive feedback to employees.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts responsibility for mistakes.
Demonstrates honesty and truthfulness at all times.
Fosters a high standard of ethics and integrity.
Demonstrates sincerity in actions with others.
Develops trust and confidence from others.
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.
Keeps themselves and others focused on constant improvement.
Produces high quality work.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in performing his/her job.
Has great overall performance
Sets a high standard for job performance.
...Overall Performance
Able to organize work.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops a strong safety culture.
Is not afraid to question a potential safety issue observed in the workplace.
Performs work safely.
Supports our company's safety programs.
Ensures that all supervisors are aware of regulatory and compliance measures.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helpful
Forms working relationships with employees from other departments.
Works effectively with people from other departments.
Treats others with respect and dignity.
Includes others in the decision making processes.

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.