Results Oriented - 360 Degree Feedback Survey Sample #6

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 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 and . 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

Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides clear expectations for employees.
Encourages a high-energy, fun work environment and coaches others on how to do the same
Inspires and motivates co-workers to be productive and energetic at work
Works toward achievement of goals even when confronted with obstacles.
Stays focused on meeting the needs of customers.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to adapt to new situations.
Adapts to new organizational structures, policies, or procedures.
Encourages others to adopt new procedures.
Effective in incorporating new ideas.
Acts decisively in frequently changing and uncertain environment.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for results.
Takes ownership of mistakes and learns from them.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Is aware of problems or issues that may affect the organization.
Keeps supervisor informed of recent events.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to manage their own emotions.
Able to understand others' points of view.
Is able to control their own emotions.
Is able to express themselves clearly.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets an example for others to follow
Delegate tasks effectively
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
Makes you feel enthusiastic about your work
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Offers constructive improvements to existing systems.
Challenges current procedures to develop other alternatives.
Analyzes current procedures and identifies opportunities for improvement.
Implements best practices within the department.
Builds upon the ideas and solutions of others.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps informed of various regulations and procedures.
Ensures regulations are followed as required.
Understands the applicable regulations and laws that impact our business.
Follows all safety regulations and procedures.
Maintains a state of readiness to address new and changing regulations and procedures.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures client commitments and requirements are met or exceeded
Looks for opportunities that have a positive impact on Clients.
Forms strong client relationships
Satisfies client needs.
Maintains strong relationships with clients.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Allows individuals to be responsible for their decisions.
Encourages others to obtain necessary skills and training.
Avoids micromanaging their employees.
Sets clear goals for others to accomplish.
Distributes the workload to subordinates.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies and takes steps to prevent potential confrontations.
Clearly expresses expectations to others.
Helps employees to think through alternative ways to resolve conflict situations.
Deals effectively with employee grievances.
Assists team members by helping them see the other point of view.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes people around them feel appreciated and valued.
Readily shares credit and gives others opportunity for visibility.
Recognizes team members who offer a significant contribution to a project.
Offers recognition in a timely manner.
Compliments other people when they do good work
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Devotes a certain amount of time and effort to developing new business opportunities.
Excellent at managing relationships with stakeholders.
Exhibits determination and passion in completion of goals.
Encourages dynamic growth opportunities.
Able to adapt the department to changing business demands and climate.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the "basics" as to how [Company] functions/operates.
Understands how decisions impact other business units beyond their immediate department of work group.
Attends [Company] gatherings and social events.
Impresses upon others the important aspects of [Company].

66. Overall, please rate the effectiveness of .
    

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

    
    
67. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
68. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
69. Additional comments, if any for 's assessment.