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.
Steps away from a situation to process appropriate response.
Does not allow own emotions to interfere with the performance of others.
Uses patience and self-control in working with customers and associates.
Analyzes interpersonal problems instead of reacting to them.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for continuous learning.
Contributing fully to the extent of their skills
Quickly acquire and apply new knowledge and skills when needed
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.
Starts meetings on time.
Starts the workday when scheduled.
Responds to requests for information in a timely manner.
Arrives to meetings on time.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains self-control when personally criticized.
Sets appropriate goals for employees.
Stays focused even when under pressure and stress.
Makes sure that employees understand and identify with the team's mission.
Functions well under stress, deadlines, and/or significant workloads.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Comes across as confident, decisive, and resilient
Is confident in the decisions they make.
Receptive to new ideas from others when making decisions.
Exercises good judgment by making sound and informed decisions.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Inspires creativity in their team.
Is creative and inspirational.
Develops solutions to challenging problems.
Is creative.
Conceives, implements and evaluates ideas.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters a creative and innovative work environment.
Challenges current procedures to develop other alternatives.
Develops new products and services.
Encourages open communication to ensure that all proposals are considered.
Creates improved methods or solutions for meeting goals and objectives.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Eliminates bureaucratic barriers to streamline processes.
Establishes stretch goals to advance skills and output.
Systematically works to improve the organization
Strives to meet goals and objectives.
Sets challenging goals.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates the analytical skills to do their job.
Produces high quality work.
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops safety guidelines for the department.
Ensures compliance with safety regulations.
Supports our company's safety programs.
Encourages others to attend safety training.
Is aware of OSHA safety guidelines.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees through recognition of positive changes in behavior.
Supports the successes of other employees.
Sets performance objectives for subordinates that encourages development opportunities.
Recognizes and celebrates accomplishments of others.
Assigns tasks and responsibilities to develop skills of others.
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
Takes immediate action on poor performance
Gives others development opportunities through project assignments and increased job responsibilities
Adapts coaching and mentoring approach to meet the style or needs of individuals
Works to identify root causes of performance problems
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Determines what supplies/equipment will be needed for the job.
Plans for future staffing needs.
Able to develop logistics plans to move material through a multi-step supply chain.
Adjusts and rearranges the schedule to maximize efficiency.
Establishes and monitors timeframes and timelines.

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.