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
Analyzes unique issues or problems impacting the Company.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Implements long-term solutions to problems.
Creates strategies that significantly benefit the Company.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in communicating with others within the organization.
Adept at navigating within the culture of the department.
Able to explain departmental policies and procedures to others.
Gets things done through the department.
Able to deal with sensitive issues with tact and professionalism.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops a detailed plan outlining tasks, resources, timelines, and deliverables.
Always has a "Plan-B" ready if needed.
Develops effective plans to deal with unforeseen circumstances.
Determines the allocation of funds based on plans for future development.
Able to balance the needs of multiple stakeholders in developing the plan for the division.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Looks to others for input.
Considers other's opinion and suggestions.
Open to the suggestions of others.
Shares past experiences with others as learning opportunities.
Actively seeks feedback from others.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is attentive to emotional cues and interprets others' feelings correctly.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Accurately perceives the emotional reactions of others.
Is able to control their own emotions.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Functions well under stress, deadlines, and/or significant workloads.
Maintains focus when handling several problems or tasks simultaneously.
Sets appropriate goals for employees.
Aligns the department's goals with the goals of the organization.
Maintains self-control when personally criticized.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps up-to-date with legislation affecting employees.
Keeps informed of various regulations and procedures.
Implements regulatory changes in a timely manner.
Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
Ensures regulations are followed as required.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates willingness to work with others.
Able to work with individuals at all levels of the Company.
Effectively manages conflicts by dealing with them directly and immediately
Creates an atmosphere that supports the open expression of ideas
Builds a strong rapport with co-workers.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Changes communication styles to meet the listener's needs.
Able to clearly express thoughts and concerns.
Maintains good interpersonal relationships with representatives from the other party.
Able to adapt to changing situations.
Establishes good working relationships with others.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helpful
Works across boundaries within the organization.
Includes others in the decision making processes.
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.