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

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Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses patience and self-control in working with customers and associates.
Does not allow own emotions to interfere with the performance of others.
Analyzes interpersonal problems instead of reacting to them.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks opportunities for continuous learning.
Quickly acquire and apply new knowledge and skills when needed
Allows employees to fully participate in employee training and professional development.
Contributing fully to the extent of their skills
Keep themselves up-to-date of technical/professional issues
Punctuality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Starts meetings on time.
Invoices clients on a timely basis.
Responds to requests for information in a timely manner.
Avoids making personal phone calls during working hours.
Arrives to meetings on time.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Functions well under stress, deadlines, and/or significant workloads.
Makes sure that employees understand how their work relates to organizational goals.
Stays focused even when under pressure and stress.
Excellent at managing time.
Maintains self-control when personally criticized.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Applies creative reasoning in making decisions.
Recognizes and generates innovative solutions.
Has enough self-control to avoid making impulsive decisions.
Decides which long-term goals should be met.
Makes decisions independently (without having to be told what or how).
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a lot of new ideas.
Is creative.
Conceives, implements and evaluates ideas.
Adds value to the department/organization.
Develops solutions to challenging problems.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands that innovation requires doing things differently.
Creates a safe environment for idea-sharing.
Develops innovative products or services.
Develops effective solutions for viewing problems from a different point of view.
Plays a pivotal role in fostering an environment where radical innovation can flourish and lead to major breakthroughs.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses established goals and performance measures to keep track of performance.
Works at a quick pace to complete a high volume of work.
Makes use of talents of others to help achieve a high level of performance.
Demonstrates a well-organized and timely approach to achieve desired results
Sets performance metrics to measure achievement or attainment of goals.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Produces high quality work.
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Demonstrates the analytical skills to do their job.
Is planful and organized.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Performs work safely.
Is aware of OSHA safety guidelines.
Committed to safety in the workplace.
Develops a strong safety culture.
Seeks to reduce the likelihood of accidents.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Supports the successes of other employees.
Is open to receiving feedback.
Creates opportunities for professional development.
Provides constructive feedback to others.
Assesses employees' developmental needs.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes immediate action on poor performance
Gives others development opportunities through project assignments and increased job responsibilities
Works to identify root causes of performance problems
Provides ongoing feedback to co-workers on their development progress
Adapts coaching and mentoring approach to meet the style or needs of individuals
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops an effective plan to guide the project.
Assigns the right tasks to the right people and holds them accountable.
Is good at planning for the "unexpected".
Involves relevant coworkers in the development of the plan.
Is able to clearly articulate the plan for the department/district.

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.