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
Appreciates the input from other team members.
Encourages others to share ideas to develop team cohesion
Coaches team members to work toward a common goal.
Acts as an effective team player
Seeks and listens to other's contributions
Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Displays high energy and enthusiasm on consistent basis.
Is decisive when making decisions.
Persists in work despite obstacles encountered.
Overcomes obstacles that may impede progress on a task.
Takes action when opportunities arise.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to express themselves clearly.
Is able to control their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
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.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps guide employees with prioritizing tasks.
Aligns the department's goals with the goals of the organization.
Maintains self-control when personally criticized.
Functions well under stress, deadlines, and/or significant workloads.
Makes sure that employees understand and identify with the team's mission.
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the financial, strategic, resources, staffing, timeline and market risks that may impact the project.
Initiates large projects.
Holds meetings with supply-chain vendors regarding acquisition of resources.
Works with customers and clients to assess their needs and define project parameters.
Prepares contingency plans to avoid supply chain disruptions.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a leading force driving changes.
Is an inspiration for others to accept the recent changes.
Facilitates change with minimal resistance.
Assists others in understanding changes to the organization.
Effective in implementing new organizational vision and values.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Always willing to help coworkers to keep productions levels high.
Determines what resources will be needed to achieve the objectives.
Helps others when free-time is available.
Sets important goals for the department.
Prioritizes goals to complete those in urgent need first.
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adopts the implementation of new technology into the workplace.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Supports employee training and development initiatives regarding implementation of technology.
Understands and is committed to implementing new technologies.
Supports technical training and development of employees.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willing to overlook personal differences and focus on completing the task at hand.
Understands the core issues of conversations.
Values the input from coworkers.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Demonstrates positive behaviors for others to follow.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes assigned work tasks.
Holds herself / himself accountable to goals / objectives
Sets a good example.
Acts as a resource without removing individual responsibility.
Responsible for setting the vision of the department.

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.