Results Oriented - 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

Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Strives to achieve high volume of output.
Keeps track of progress toward the results.
Sets priorities for tasks to be completed.
Stays focused on solving problems and getting work done.
Pursues performance benchmarks despite obstacles and setbacks.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Remains calm when dealing with multiple issues.
Open to adapting thoughts, behaviors, and strategies in response to evolving situations and new information.
Able to deal with uncertain and unpredictable events.
Permits flexible working and flex-time to accommodate employee needs to meet external obligations.
Responds positively to unanticipated changes in the work schedule.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is prepared and on time for meetings and scheduled events.
Exhibits good governance in their role as an executive.
Sets clear expectations for performance.
Willingly accepts the consequences for their actions.
Accepts personal responsibility for the timeliness of work.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accurately perceives the emotional reactions of others.
Able to understand others' points of view.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is attentive to emotional cues and interprets others' feelings correctly.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delegate tasks effectively
Takes responsibility for things that go wrong
Is ready to offer help
Makes you feel enthusiastic about your work
Sets an example for others to follow
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps focus the department on innovation.
Encourages open communication to ensure that all proposals are considered.
Values diverse opinions among team members.
Serves as an effective innovative champion.
Offers solutions to problems when talking with clients.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Implements strategies to ensure compliance.
Provides documents and reports as needed to maintain compliance with laws.
Coordinates internal and external audit procedures.
Conducts necessary risk assessments.
Provides direction and oversight for the compliance department.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates customized solutions for the client.
Focuses on the unique needs of each client.
Builds long term relationships with clients.
Helps others in responding to client needs.
Uses feedback from the client to help improve the client's experience.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides opportunities for employee development and growth.
Sets goals to allow the employee to have more autonomy over their work.
Recognizes and rewards employees who make important decisions and take action when necessary.
Encourages others to obtain necessary skills and training.
Is confident in the abilities of employees assigned important tasks.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Persuades individuals to alter their underlying work behaviors which may have led to the conflict.
Initates collaborative processes to reduce conflict.
Persuades others to accept ideas that may be difficult and uncomfortable.
Steers the process towards compromise and conflict resolution.
Is open and honest to avoid misunderstandings.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes individuals for a specific outstanding achievement.
Finds opportunities to recognize others.
Is sincerely interested in the suggestions of co-workers
Makes people around them feel appreciated and valued.
Recognizes the abilities and skills of self and others
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Excellent at managing relationships with stakeholders.
Is comfortable operating in an environment of uncertainty.
Encourages risk taking for developing potential business opportunities.
Can work effectively in an environment of uncertainty.
Devotes a certain amount of time and effort to developing new business opportunities.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands how decisions impact other business units beyond their immediate department of work group.
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the "basics" as to how [Company] functions/operates.

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

    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 [Participant Name Here]'s assessment.