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
Effective in strategy formulation and execution.
Identifies bottlenecks in the production process and develops strategies to correct these issues.
Supports changes being recommended from senior management.
Creates measures of performance and profitability to assess financial objectives.
Creates a strategy to pursue and maintain a competitive advantage in business.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains strong relationships with others.
Accepts responsibility for mistakes.
Protects the integrity and confidentiality of information
Establishes relationships of trust, honesty, fairness, and integrity.
Does what was promised.
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 interpersonal problems instead of reacting to them.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
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.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Pursues professional development opportunities when they arise.
Pursues learning that will enhance job performance.
Grasps new ideas, concepts, technical, or business knowledge.
Takes the initiative to learn new skills.
Views setbacks as opportunities to learn from.
Delegation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Clearly defines duties and tasks to be completed.
Defines goals and objectives for subordinates.
Assigns tasks to create learning opportunities for the employees.
Tells subordinates what to do, not how to do it.
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
Enthusiastic about taking on challenging projects.
High attention to detail.
Implements and uses performance measures.
Has strong technical/computer skills.
Able to develop, justify and present a budget.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops plans for following through on the changes.
Effective in implementing new organizational vision and values.
Is a leading force driving changes.
Inspires others to accept changes.
Addresses organizational and departmental resistance to changes.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates an understanding of the other person's interests, needs and concerns.
Demonstrates congruence between statements and actions.
Works in a way that makes others want to work with her/him.
Is a person you can trust.
Builds and maintains the trust of others.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Views others in the department as valued assets to be trained and employed.
Trusts employees are able to complete assigned tasks.
Recognizes the accomplishments of employees when they complete important assignments.
Gives employees opportunities to demonstrate their skills.
Creates opportunities for employees to exercise their independence.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is resolute when stating priorities and non-negotiables.
Clearly understands the interests and choices of both parties.
Controls emotional responses to maintain a productive atmosphere.
Is aware of the needs of the other party.
Identifies verbal and nonverbal cues to help interpret actions and messages.

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.