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

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Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Mobilizes change through executive leadership to implement corporate strategies.
Identifies and understands competitors in the marketplace.
Ensures that the department's goals are strategically aligned with the company's goals.
Strategically deploys resources to areas of the greatest need.
Creates a mission statement describing the purpose for the organization.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages subordinates to act with trust, integrity, and leadership.
Fosters a high standard of ethics and integrity.
Is transparent about capabilities and timelines when making promises.
Ensures that all work is done to the highest standard, leading to better quality products and services.
Leads by example, demonstrating a strong work ethic and commitment to excellence.
Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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.
Consciously controls own negative emotions in order to keep team morale up.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Uses patience and self-control in working with customers and associates.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Participates in regular training offered.
Shares best practices with others and learns from others.
Sets relevant learning objectives and goals.
Takes the initiative to learn new skills.
Grasps new ideas, concepts, technical, or business knowledge.
Delegation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employee self-assessment to better understand where preferred tasks and work styles would be most effective.
Strategically selects assignments that support an employee's growth within the organization.
Discusses with team members about what to do, not how to do it.
Ensures subordinates understand how their tasks contribute to team or company goals.
Seeks acceptance of the delegated task from the employee.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates information and ideas in speaking so others will understand.
Uses proper spelling, capitalization, punctuation, and grammar in written documents.
Follows established policies and procedures.
Uses automated and manual records management systems.
Communicates effectively both in writing and verbally.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Anticipates changes that radical decisions may have on the department.
Encourages managers to embrace the changes.
Creates a compelling vision that helps employees connect emotionally with the changes needed.
Facilitates the implementation of production line changes.
Anticipates employee/team/department responses to changes.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Builds and maintains the trust of others.
Communicates an understanding of the other person's interests, needs and concerns.
Works in a way that makes others want to work with her/him.
Takes care to maintain confidential information.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps employees advance their skills so that they can have more autonomy.
Permits employees to take training to become more independent.
Values the input from others.
Willing to share in the decision making process.
Gives employees important tasks to expand their career options.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes clear communications to avoid misunderstandings.
Able to clearly express thoughts and concerns.
Understands the other person's needs, concerns, and motivations.
Able to express themselves in a clear, convincing, and logical manner.
Knows the BATNA (Best Alternative to a Negotiated Agreement) and is prepared to walk away if core interests are not met.

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.