Self-Management - 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

Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Uses patience and self-control in working with customers and associates.
Analyzes interpersonal problems instead of reacting to them.
Steps away from a situation to process appropriate response.
Consciously controls own negative emotions in order to keep team morale up.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep themselves up-to-date of technical/professional issues
Quickly acquire and apply new knowledge and skills when needed
Encourages employees to take courses relevant to their job.
Contributing fully to the extent of their skills
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Punctuality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains an efficient schedule of activities.
Arrives to meetings on time.
Invoices clients on a timely basis.
Conducts appointments at scheduled start time.
Avoids making personal phone calls during working hours.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure that employees understand and identify with the team's mission.
Stays focused even when under pressure and stress.
Aligns the department's goals with the goals of the organization.
Helps guide employees with prioritizing tasks.
Maintains focus when handling several problems or tasks simultaneously.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks for additional information when making critical decisions.
Exercises good judgment by making sound and informed decisions.
Does not lose sight of the big picture when making decisions
Is able to make decisions quickly.
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adds value to the department/organization.
Develops solutions to challenging problems.
Creates a lot of new ideas.
Conceives, implements and evaluates ideas.
Inspires creativity in their team.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Searches for opportunities and innovative ways to improve the organization.
Offers constructive improvements to existing systems.
Builds upon the ideas and solutions of others.
Creates a safe environment for idea-sharing.
Suggests new ideas at meetings.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes work to a high technical standard
Follows-up and takes action when goals are not met to ensure better results in the future.
Completes work to given time frame and to budget
Accepts setbacks and challenges as improvement opportunities
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates the analytical skills to do their job.
Keeps themselves and others focused on constant improvement.
Is planful and organized.
Produces high quality work.
Can be counted on to add value wherever they are involved.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Committed to safety in the workplace.
Encourages others to attend safety training.
Participates in safety training when offered.
Supports safety programs and procedures.
Ensures compliance with safety regulations.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assigns tasks and responsibilities to develop skills of others.
Creates opportunities for professional development.
Assesses employees' developmental needs.
Creates a work environment that fosters positive feedback to employees.
Supports the successes of other employees.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets and clearly communicates expectations, performance goals, and measurements to others
Provides ongoing feedback to co-workers on their development progress
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works in an organized manner
Anticipates obstacles and ways to overcome them.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Able to identify the needs of the department before a major change.

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.