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
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Formulates policies and strategies for addressing the Company's important challenges.
Works with others to develop insights into the resources and actions required to produce desired results.
Creates strategies that significantly benefit the Company.
Attends industry conferences to gain further insight into how other companies deal with similar issues.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to use corporate politics to advance department objectives.
Gets things done through the department.
Able to deal with sensitive issues with tact and professionalism.
Understands the current organizational culture.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops a detailed plan outlining tasks, resources, timelines, and deliverables.
Purchases equipment and software that will be needed in the future.
Understands what equipment will be needed for the project.
Plans for future staffing needs.
Adjusts plans as needed according to situational/strategic changes.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks feedback to enhance performance.
Considers other's opinion and suggestions.
Is easy to approach with ideas and opinions.
Is visible and approachable.
Actively seeks feedback from others.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to express themselves clearly.
Able to understand others' points of view.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Aligns the department's goals with the goals of the organization.
Stays focused even when under pressure and stress.
Sets appropriate goals for employees.
Makes sure that employees understand and identify with the team's mission.
Maintains self-control when personally criticized.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Reviews transactions for potential misconduct.
Keeps up-to-date with legislation affecting employees.
Prepares and presents annual reports as required.
Identifies and assesses areas of regulatory or compliance risk.
Responds accurately and completely to questions from regulators.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Respectful of the opinions and ideas of others.
Builds a strong rapport with co-workers.
Demonstrates a high degree of ethics and integrity in the workplace.
Strives to lead by example to demonstrate the value of interpersonal relationships.
Demonstrates willingness to work with others.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Alters plans to respond to immediate challenges.
Justifies viewpoints using strong and credible data.
Is flexible in responses.
Leverages relationships with others to achieve goals.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Treats others with respect and dignity.
Works across boundaries within the organization.
Respects the opinions of other employees.
...treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.

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.