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

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Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a climate that encourages team participation.
Works with other team members on the project.
Shares pertinent information with all members of the team.
Considers the impact and implications of decisions on the team.
Works well with other team members.
Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prevents small issues from becoming critical incidents.
Identifies needs and takes steps to address them.
Stays committed to goals even when progress is slow.
Is proactive in developing solutions to problems.
Demonstrates resilience in the face of adversity.
Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to understand others' points of view.
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Is able to express themselves clearly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure that employees understand and identify with the team's mission.
Excellent at managing time.
Makes sure that employees understand how their work relates to organizational goals.
Stays focused even when under pressure and stress.
Helps guide employees with prioritizing tasks.
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Determines the roles for project team members.
Effective at using video conferencing software to manage remote teams.
Defines project outcomes based on customer requirements.
Ensures the project is executed on time and on budget.
Changes the implementation of specific phases of the project to mitigate certain risks.
Change Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in dealing with ambiguous and challenging situations.
Is an inspiration for others to accept the recent changes.
Adopts changes to set and example for others to follow.
Supports new initiatives for organizational changes to improve effectiveness.
Addresses organizational and departmental resistance to changes.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works hard despite obstacles that impede progress.
Determined to complete tasks regardless of obstacles that may occur.
Completes urgent tasks first.
Does not become distracted by non-issues or interruptions.
Has a work ethic with a strong desire to obtain results.
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maximizes the use of new technology to deliver products and services.
Supports technical training and development of employees.
Adopts the implementation of new technology into the workplace.
Proficient in the use of technical systems and processes.
Supports employee training and development initiatives regarding implementation of technology.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Easily approachable.
Addresses critical customer issues in a timely manner.
Successfully resolves conflicts and grievances to a win-win solution.
Values the opinions of others.
Is open and approachable
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets a good example
Acts as a resource without removing individual responsibility.
Holds herself / himself accountable to goals / objectives
Behavior is ethical and honest.
...takes personal responsibility for results.

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.