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

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Strategic Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works with others to develop insights into the resources and actions required to produce desired results.
Observes employees at work to get better insight into the issues they are dealing with.
Converses with customers and clients to get a better insight into their personal needs.
Develops a plan and strategy for each functional area within the mission statement.
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
Able to explain departmental policies and procedures to others.
Anticipates problems that may affect the department.
Able to use corporate politics to advance department objectives.
Able to deal with sensitive issues with tact and professionalism.
Understands the current organizational culture.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets up and monitors timeframes and plans
Identifies resource requirements that may impact the development of the 5-year plan.
Conducts regular assessments of the project status to ensure adherence to the set schedule.
Develops good plans used for logistics.
Notifies staff when the plan is not on schedule.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Actively seeks feedback from others.
Looks to others for input.
Shares past experiences with others as learning opportunities.
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to express themselves clearly.
Is able to control their own emotions.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Functions well under stress, deadlines, and/or significant workloads.
Stays focused even when under pressure and stress.
Maintains focus when handling several problems or tasks simultaneously.
Maintains self-control when personally criticized.
Makes sure that employees understand and identify with the team's mission.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
Coordinates the work of other Business Managers to ensure all are in compliance with established standards and guidelines.
Develops a confidential reporting system to enable employees to anonymously report safety violations.
Reviews anti-retaliation policies to ensure compliance with government standards.
Reviews documentation and procedures manuals to ensure regulatory compliance.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates positive behaviors for others to follow.
Is well respected in the department.
Shows appreciation for other's work.
Attends to both the content and the context of what was being said.
Considers the other individual's point of view.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adjusts methods to suit the current situation.
Combines the valid points from each source to form a comprehensive and balanced perspective.
Able to collaborate with others in solving problems to create solutions that satisfy both parties' interests.
Justifies viewpoints using strong and credible data.
Establishes a strong, cooperative atmosphere; defines expectations; and presents a well-structured agenda aligned with key priorities.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Includes others in the decision making processes.
Constructively receives criticism and suggestions from others.
Able to see issues from others' perspectives.

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.