Strategic Focus- 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

Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to decline a poor strategy by proposing alternate strategies.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Communicates goals and objectives to employees.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Follows tasks to completion.
Demonstrates honesty and truthfulness at all times.
Maintains strong relationships with others.
Demonstrates sincerity in actions with others.
Fosters a high standard of ethics and integrity.
Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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.
Uses patience and self-control in working with customers and associates.
Steps away from a situation to process appropriate response.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Pursues learning that will enhance job performance.
Shares best practices with others and learns from others.
Participates in regular training offered.
Takes charge of their training and skills enhancement.
Grasps new ideas, concepts, technical, or business knowledge.
Delegation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Tells subordinates what to do, not how to do it.
Assigns tasks to create learning opportunities for the employees.
Clearly defines duties and tasks to be completed.
Allows subordinates to use their own methods and procedures.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accurately implements contract provisions.
Completes reports on-time.
Implements and uses performance measures.
Strong organizational skills to keep the workspace and department in order
High attention to detail.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Addresses organizational and departmental resistance to changes.
Effective in implementing new organizational vision and values.
Supports new initiatives for organizational changes to improve effectiveness.
Able to get department employees to accept new changes.
Inspires others to accept changes.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Builds and maintains the trust of others.
Is a person you can trust.
Consistently keeps commitments.
Communicates an understanding of the other person's interests, needs and concerns.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gives employees autonomy to complete tasks on their own.
Allows individuals to be responsible for their decisions.
Encourages employees to solve problems on their own.
Willing to share in the decision making process.
Is confident in the abilities of employees assigned important tasks.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Stays calm and focuses on the core issues to be discussed.
Able to influence others to accept certain positions.
Able to control their emotional responses and correctly gauge the emotions of others.
Maintains communication channels between parties in the negotiation.
Leverages relationships with others to achieve goals.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
53. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
54. Additional comments, if any for [Participant Name Here]'s assessment.