Strategic Insight- 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 Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates vision for the department and company.
Identifies root causes of problems.
Formulates policies and strategies for addressing the Company's important challenges.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Analyzes records and reports to obtain insight into potential issues and trends.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gets things done through the department.
Understands the current organizational culture.
Able to deal with sensitive issues with tact and professionalism.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to use corporate politics to advance department objectives.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes plans and follows through.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Able to identify the needs of the department before a major change.
Anticipates obstacles and ways to overcome them.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks feedback to enhance performance.
Considers other's opinion and suggestions.
Asks others for their ideas and opinions.
Actively seeks feedback from others.
Is visible and approachable.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to express themselves clearly.
Is attentive to emotional cues and interprets others' feelings correctly.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Able to understand others' points of view.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure that employees understand how their work relates to organizational goals.
Makes sure that employees understand and identify with the team's mission.
Stays focused even when under pressure and stress.
Aligns the department's goals with the goals of the organization.
Functions well under stress, deadlines, and/or significant workloads.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
Understands and adheres to internal and external regulations.
Understands the applicable regulations and laws that impact our business.
Keeps informed of various regulations and procedures.
Follows all safety regulations and procedures.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is open and approachable
Values the opinions of others.
Creates an atmosphere that supports the open expression of ideas
Comes across as credible, knowledgeable and sincere
Expresses appreciation of other's work.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Able to adapt to changing situations.
Able to clearly express thoughts and concerns.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Able to influence others to accept certain positions.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Supports the efforts of other employees in implementing solutions to problems.
Helpful
Works across boundaries within the organization.
Able to see issues from others' perspectives.
...treats others with respect and dignity.

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.