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
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Steps away from a situation to process appropriate response.
Consciously controls own negative emotions in order to keep team morale up.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Does not allow own emotions to interfere with the performance of others.
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.
Allows employees to fully participate in employee training and professional development.
Quickly acquire and apply new knowledge and skills when needed
Encourages employees to take courses relevant to their job.
Punctuality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains an efficient schedule of activities.
Starts meetings on time.
Responds to requests for information in a timely manner.
Starts the workday when scheduled.
Invoices clients on a timely basis.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains focus when handling several problems or tasks simultaneously.
Makes sure that employees understand and identify with the team's mission.
Makes sure that employees understand how their work relates to organizational goals.
Functions well under stress, deadlines, and/or significant workloads.
Sets appropriate goals for employees.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies parameters impacting the decision.
Facilitates meetings with others to try to consider alternative courses of action.
Makes creative decisions.
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Stays focused on the main objective when making decisions.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Inspires creativity in their team.
Conceives, implements and evaluates ideas.
Adds value to the department/organization.
Creates a lot of new ideas.
Is creative and inspirational.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Builds upon the ideas and solutions of others.
Takes risks to advance important ideas.
Creates a safe environment for idea-sharing.
Creates improved methods or solutions for meeting goals and objectives.
Fosters a creative and innovative work environment.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works at a quick pace to complete a high volume of work.
Takes reasonable risks to achieve desired results.
Rapidly completes tasks and assignments.
Increased customer satisfaction scores for the quarter.
Completes work to a high technical standard
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can be counted on to add value wherever they are involved.
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.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Participates in safety training as applicable.
Encourages others to attend safety training.
Develops a sustainable safety culture.
Performs work safely.
Mitigates hazards and safety issues that arise.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes and celebrates accomplishments of others.
Sets performance objectives for subordinates that encourages development opportunities.
Tries to ensure employees are ready to move to the next level.
Assesses employees' developmental needs.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides ongoing feedback to co-workers on their development progress
Works to identify root causes of performance problems
Gives others development opportunities through project assignments and increased job responsibilities
Sets and clearly communicates expectations, performance goals, and measurements to others
Takes immediate action on poor performance
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delegates role to team members to accomplish goals.
Makes plans and follows through.
Determines the steps required for completion of a task.
Plans for future staffing needs.
Anticipates the impacts of strategic plans.

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.