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
Stays focused on meeting the needs of customers.
Directs team in prioritizing daily work activities
Explains the "whys" behind organizational objectives
Inspires and motivates co-workers to be productive and energetic at work
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in incorporating new ideas.
Willing to try new ideas.
Is open to alternative ways to accomplish goals
Can handle changes without complaining.
Works effectively during periods of change.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can be counted on to do what they say they are going to do.
Acts like an owner when they make decisions.
Is someone you can trust.
Accepts accountability for their actions and results.
Creates a consistent process for prioritizing work.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Accurately perceives the emotional reactions of others.
Is able to express themselves clearly.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is ready to offer help
Keep staff informed about what is happening in the company
Makes you feel enthusiastic about your work
Takes responsibility for things that go wrong
Delegate tasks effectively
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Suggests new ideas at meetings.
Encourages open communication to ensure that all proposals are considered.
Fosters a creative and innovative work environment.
Solves problems with insight and understanding.
Offers constructive improvements to existing systems.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains compliance with federal, state, and local laws.
Maintains historical records and documents as needed/required.
Understands the applicable regulations and laws that impact our business.
Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
Performs regular compliance audits.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Thoroughly understands the needs of the client.
Their activities reflect a strong focus on the client relationship.
Adapts to changing client needs.
Uses feedback from the client to help improve the client's experience.
Identifies the most pressing needs of each client.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Allows employees to make their own decisions.
Allows individuals to be responsible for their decisions.
Allows the employees to have flexible work schedules.
Expresses confidence in the abilities of others.
Ensures employees understand what is being assigned to them.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies and takes steps to prevent potential confrontations.
Tries to understand others' point of view before making judgments
Clearly expresses expectations to others.
Assists team members by helping them see the other point of view.
Deals effectively with employee grievances.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Says "thank you" to show appreciation for work of others.
Recognizes the abilities and skills of self and others
Finds opportunities to recognize others.
Offers recognition in a timely manner.
Makes people around them feel appreciated and valued.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has a strategic awareness on how to promote the organization.
Encourages risk taking for developing potential business opportunities.
Can work effectively in an environment of uncertainty.
Is comfortable operating in an environment of uncertainty.
Exhibits determination and passion in completion of goals.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Attends [Company] gatherings and social events.
Understands the "basics" as to how [Company] functions/operates.
Understands the use of [Company] products and services.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands how decisions impact other business units beyond their immediate department of work group.

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.