Teamwork- 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

Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates opportunities to learn with other team members
Encourages teamwork and collaboration.
Relates to all kinds of people tactfully
Act as an effective team player
Is open to new ideas that may change own goals for benefit of the team
Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gets the job done.
Does whatever it takes (within reason) to get the job done.
Is not afraid to take corrective action when necessary.
Effectively makes decisions
Works quickly when faced with difficult problems.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accurately perceives the emotional reactions of others.
Is able to control their own emotions.
Able to understand others' points of view.
Is able to manage their own emotions.
Is able to express themselves clearly.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets appropriate goals for employees.
Helps guide employees with prioritizing tasks.
Stays focused even when under pressure and stress.
Aligns the department's goals with the goals of the organization.
Maintains self-control when personally criticized.
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains costs and expenses within budget limits.
Works with customers and clients to assess their needs and define project parameters.
Regularly reviews project performance and goals.
Defines project outcomes based on customer requirements.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Inspires others to accept changes.
Is a leading force driving changes.
Supports new initiatives for organizational changes to improve effectiveness.
Develops a strategy for implementing changes.
Works cooperatively with others to implement changes.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages a high-energy, fun work environment and coaches others on how to do the same
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Does not become distracted by non-issues or interruptions.
Explains the "whys" behind organizational objectives
Helps others when free-time is available.
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses technology in decision making and problem solving.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Supports technical training and development of employees.
Supports employee training and development initiatives regarding implementation of technology.
Maximizes the use of new technology to deliver products and services.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is trusted by peers and co-workers; others are willing to confide in him/her
Able to work with individuals at all levels of the Company.
Expresses appreciation of other's work.
Is a role model for others
Demonstrates compassion and understanding of others.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes assigned work tasks.
Holds herself / himself accountable to goals / objectives
Is a person you can trust.
...takes personal responsibility for results.
Sets high personal standards of performance.

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.