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
Implements long-term solutions to problems.
Attends industry conferences to gain further insight into how other companies deal with similar issues.
Analyzes records and reports to obtain insight into potential issues and trends.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.
Inspires employees to adopt the strategic plan.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands departmental policies and procedures.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to explain departmental policies and procedures to others.
Adept at navigating within the culture of the department.
Effective in communicating with others within the organization.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has developed an effective strategic plan.
Regularly makes plans for contingencies.
Creates a timeline to specify when each phase of the project should be concluded.
Makes strategic and tactical decisions to guide the logistics process.
Efficiently manages deadlines.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks others for their ideas and opinions.
Actively seeks feedback from others.
Considers other's opinion and suggestions.
Seeks feedback to enhance performance.
Is visible and approachable.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to express themselves clearly.
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.
Is attentive to emotional cues and interprets others' feelings correctly.
Accurately perceives the emotional reactions of others.
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.
Helps guide employees with prioritizing tasks.
Aligns the department's goals with the goals of the organization.
Maintains self-control when personally criticized.
Maintains focus when handling several problems or tasks simultaneously.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses operational compliance reports to evaluate the effectiveness of internal processes.
Develops the appropriate incentives (or disincentives) for regulatory compliance.
Documents the performance of compliance audits.
Complies with regulatory requirements for the state.
Investigates risk mitigation strategies.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Respectful of the opinions and ideas of others.
Is well respected in the department.
Works diligently to assist customers in finding the right products.
Offers praise to colleagues who have successfully completed major projects.
Is transparent and honest in communications, intentions, and actions.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a constructive atmosphere, building a positive relationship for cooperative negotiations.
Able to control their emotional responses and correctly gauge the emotions of others.
Is aware of potential emotional triggers that could negatively impact the negotiations.
Clearly articulates points and actively listens to the others to ensure that both sides understand each other's needs and concerns.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helpful
...treats others with respect and dignity.
Works effectively with people from other departments.
Treats others with respect and dignity.
Includes others in the decision making processes.

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.