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
Adjusts to changes in the composition of the team.
Is committed to the success of the team.
Finds opportunities to recognize and reward team members.
Facilitates team discussions and problem-solving
Comes across as a reliable, committed team member
Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively makes decisions
Avoids "Analysis Paralysis" through action.
Takes steps to prepare for the start of the project.
Completes tasks on time in spite of delays in the process.
Takes preemptive actions avoid obstacles or delays.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to manage their own emotions.
Able to understand others' points of view.
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Is able to control their own emotions.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Excellent at managing time.
Stays focused even when under pressure and stress.
Maintains focus when handling several problems or tasks simultaneously.
Makes sure that employees understand how their work relates to organizational goals.
Maintains self-control when personally criticized.
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Outlines key project dates and milestones.
Presents clear and accurate status information to required constituents.
Researches potential solutions to meet the constraints of the project.
Interacts with stakeholders regarding the outcomes required by the project.
Assesses the ability of the organization to handle the project.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a leading force driving changes.
Effective in dealing with ambiguous and challenging situations.
Adopts changes to set and example for others to follow.
Effective in implementing new organizational vision and values.
Develops a strategy for implementing changes.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Stays focused on meeting the needs of customers.
Overcomes obstacles to continue working toward goals.
Persists in seeking objectives despite obstacles or setbacks.
Produces a high volume of work.
Willing to take on new assignments to help increase production.
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adopts the implementation of new technology into the workplace.
Proficient in the use of technical systems and processes.
Uses technology in decision making and problem solving.
Supports employee training and development initiatives regarding implementation of technology.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively manages conflicts by dealing with them directly and immediately
Easily approachable.
Respects other members of the team/department.
Addresses critical customer issues in a timely manner.
Works diligently to assist customers in finding the right products.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responsible for setting the vision of the department.
Holds herself / himself accountable to goals / objectives
Is a person you can trust.
Completes assigned work tasks.
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.