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
Looks for opportunities to enhance contributions to the bottom line.
Able to decline a poor strategy by proposing alternate strategies.
Understands & contributes to development of strategic goals.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes relationships of trust, honesty, fairness, and integrity.
Demonstrates sincerity in actions with others.
Maintains strong relationships with others.
Demonstrates honesty and truthfulness at all times.
Develops trust and confidence from others.
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.
Consciously controls own negative emotions in order to keep team morale up.
Analyzes interpersonal problems instead of reacting to them.
Uses patience and self-control in working with customers and associates.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is open to new ideas and concepts.
Pursues self-improvement through continual learning.
Seeks opportunities to grow in skills and knowledge.
Participates in regular training offered.
Takes the initiative to learn new skills.
Delegation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets clear and reasonable expectations for others and follows through on their progress.
Defines goals and objectives for subordinates.
Entrusts subordinates with important tasks.
Assigns tasks to create learning opportunities for the employees.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Enthusiastic about taking on challenging projects.
Accurately implements contract provisions.
Takes responsibility for decisions.
Strong organizational skills to keep the workspace and department in order
Has strong technical/computer skills.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Supports the Company's efforts to implement changes.
Supports new initiatives for organizational changes to improve effectiveness.
Effective in dealing with ambiguous and challenging situations.
Works cooperatively with others to implement changes.
Addresses organizational and departmental resistance to changes.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Consistently keeps commitments.
Demonstrates congruence between statements and actions.
Communicates an understanding of the other person's interests, needs and concerns.
Demonstrates a sense of responsibility and commitment to public trust.
Delivers on promises made.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to solve problems on their own.
Allows individuals to be responsible for their decisions.
Distributes the workload to subordinates.
Provides support and resources needed to accomplish goals.
Encourages others to obtain necessary skills and training.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies verbal and nonverbal cues to help interpret actions and messages.
Researches the needs of the other party to identify strengths and weaknesses of positions.
Establishes good working relationships with others.
Understands the expectations of other parties in the negotiation.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.

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.