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
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Recognizes the problem that needs to be solved.
Promptly and efficiently completes assigned tasks.
Directs team in prioritizing daily work activities
Exceeds performance requirements.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has the ability to pivot strategies, operations, or processes in real-time to meet new challenges or seize new opportunities.
Remains agile and responsive to address changing needs in a dynamic environment.
Navigates ambiguity with ease, maintaining focus and productivity amidst uncertainty.
Encourages others to adopt new procedures.
Adapts to circumstances as needed.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets clear performance measures.
Always keeps the supervisor informed of relevant information.
Requires employees to submit monthly reports of the work they performed.
Takes responsibility for errors in the production line.
Regularly completes tasks on time.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to express themselves clearly.
Is able to control their own emotions.
Is able to manage their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Accurately perceives the emotional reactions of others.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep staff informed about what is happening in the company
Sets an example for others to follow
Takes responsibility for things that go wrong
Is ready to offer help
Delegate tasks effectively
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Suggests new ideas at meetings.
Creates improved methods or solutions for meeting goals and objectives.
Searches for opportunities and innovative ways to improve the organization.
Challenges current procedures to develop other alternatives.
Analyzes current procedures and identifies opportunities for improvement.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates necessary compliance policies and procedures.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Coordinates with legal counsel in conducting audits of legal compliance.
Offers training to employees to ensure they are complying with regulations.
Explains regulations and procedures to others as required.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Anticipates potential obstacles to meeting client needs.
Is aware of what the client wants to receive.
Gives feedback to the client regularly.
Makes sure their interests are aligned with the client's interests.
Looks for opportunities that have a positive impact on Clients.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willing to share in the decision making process.
Fosters a sense of ownership and accountability for the process/product.
Allows employees to make their own decisions.
Assigns tasks that allow employees to use their critical thinking skills.
Set clear goals for assignments.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Avoids engaging in conflicts over minor workplace matters.
Attentively hears each person as they share their distinct viewpoints on the matter.
Encourages team members to express their ideas and concerns openly.
Ensures fair treatment for both parties, giving each the chance to speak and share their viewpoints.
Explores the feasibility of alternative solutions to resolve conflicts.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Lets employees know when they have done well
Is sincerely interested in the suggestions of co-workers
Recognizes the abilities and skills of self and others
Recognizes team members who offer a significant contribution to a project.
Reinforces and rewards employees for accomplishing necessary goals.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks and utilizes mentors to help guide professional development.
Can work effectively in an environment of uncertainty.
Takes the initiative to complete tasks.
Has a strategic awareness on how to promote the organization.
Encourages dynamic growth opportunities.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].
Understands how decisions impact other business units beyond their immediate department of work group.
Follows existing procedures and processes.
Attends [Company] gatherings and social events.

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.