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
Observes employees at work to get better insight into the issues they are dealing with.
Creates values statement to ensure all employees are working under the same guiding principles.
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Meets with customers to gain insight into their core needs and how best to serve them.
Recognizes the needs of customers.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the current organizational culture.
Able to explain departmental policies and procedures to others.
Effective in communicating with others within the organization.
Anticipates problems that may affect the department.
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
Adjusts plans as needed according to situational/strategic changes.
Regularly makes plans for contingencies.
Able to balance the needs of multiple stakeholders in developing the plan for the division.
Is able to clearly articulate the plan for the department/district.
Determines the allocation of funds based on plans for future development.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is visible and approachable.
Considers other's opinion and suggestions.
Looks to others for input.
Seeks feedback to enhance performance.
Accepts the views of others.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Able to understand others' points of view.
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
Excellent at managing time.
Maintains self-control when personally criticized.
Aligns the department's goals with the goals of the organization.
Makes sure that employees understand how their work relates to organizational goals.
Stays focused even when under pressure and stress.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Appoints a supervisory committee to ensure effective oversight of the organization.
Keeps track of changes in legislation affecting regulatory compliance.
Maintains a compliance data recordkeeping system.
Coordinates internal and external audit procedures.
Works quickly to implement changes in regulations.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Successfully resolves conflicts and grievances to a win-win solution.
Is someone you can trust.
Demonstrates positive behaviors for others to follow.
Offers praise to colleagues who have successfully completed major projects.
Willing to overlook personal differences and focus on completing the task at hand.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes clear communications to avoid misunderstandings.
Knows where to stand firm and where to compromise.
Is resolute when stating priorities and non-negotiables.
Establishes good working relationships with others.
Is resolute in positions to better withstand pressure and resist making hasty concessions.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Works effectively with people from other departments.
Respects the opinions of other employees.
Works across boundaries within the organization.

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.