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
Inspires and motivates co-workers to be productive and energetic at work
Directs team in prioritizing daily work activities
Works toward achievement of goals even when confronted with obstacles.
Helps others when free-time is available.
Stays focused on meeting the needs of customers.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies new opportunities to achieve goals
Able to adapt to new situations.
Implements changes as a result of having listened to employees
Is open to alternative ways to accomplish goals
Encourages others to adopt new procedures.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a consistent process for prioritizing work.
Defines roles, rights, and responsibilities of the team.
Accepts accountability for their actions and results.
Is someone you can trust.
Defines roles, rights, and responsibilities of employees.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accurately perceives the emotional reactions of others.
Is able to express themselves clearly.
Is able to control their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Able to understand others' points of view.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Delegate tasks effectively
Is ready to offer help
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Implements best practices within the department.
Suggests new ideas at meetings.
Challenges current procedures to develop other alternatives.
Analyzes current procedures and identifies opportunities for improvement.
Offers constructive improvements to existing systems.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
Follows all safety regulations and procedures.
Explains regulations and procedures to others as required.
Addresses issues quickly before they develop into major problems.
Keeps informed of various regulations and procedures.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Obtains feedback to ensure client needs are being met.
Ensures client commitments and requirements are met or exceeded
Maintains strong relationships with clients.
Is pro-active in dealing with clients and addressing their needs.
Satisfies client needs.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to solve problems on their own.
Distributes the workload to subordinates.
Allows individuals to be responsible for their decisions.
Avoids micromanaging their employees.
Provides support and resources needed to accomplish goals.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Tries to understand others' point of view before making judgments
Identifies and takes steps to prevent potential confrontations.
Deals effectively with employee grievances.
Helps employees to think through alternative ways to resolve conflict situations.
Discusses conflict situations with supervisor.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes team members who offer a significant contribution to a project.
Recognizes individuals for a specific outstanding achievement.
Offers recognition in a timely manner.
Readily shares credit and gives others opportunity for visibility.
Recognizes the abilities and skills of self and others
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages risk taking for developing potential business opportunities.
Exhibits determination and passion in completion of goals.
Finds unique ways to go around barriers to success.
Able to adapt the department to changing business demands and climate.
Encourages dynamic growth opportunities.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Attends [Company] gatherings and social events.
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the "basics" as to how [Company] functions/operates.
Impresses upon others the important aspects of [Company].
Understands the use of [Company] products and services.

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.