Technical Skills - 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

Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Knows how to produce high quality products/work.
Is knowledgeable of procedures or systems necessary for the job.
Demonstrates mastery of the technical competencies required in his/her work.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Open to the perspectives/viewpoints of others.
Encourages others to adopt new procedures.
Identifies new opportunities to achieve goals
Adapts to new organizational structures, policies, or procedures.
Willing to try new ideas.
Adaptability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Able to quickly learn new ways of performing their job.
Able to work effectively with new people and new teams.
Learns from personal experiences and/or mistakes.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is ready to offer help
Delegate tasks effectively
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Sets an example for others to follow
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.
Sets appropriate goals for employees.
Makes sure that employees understand and identify with the team's mission.
Excellent at managing time.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Always strives to produce the highest quality work products.
Holds employees accountable for their quality of work.
Encourages others to produce the highest quality work products.
Encourages others to achieve high quality standards.
Reflects on what is working and what could be improved.
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies and assesses all potential responses to a problem.
Is a good problem solver and decision maker
Able to balance the needs of different people in a solution to a problem.
Solves problems using logic and insight.
Effective in solving problems.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains persistence and dedication to achieving results.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Encourages commitment in others to obtain results.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Holds herself / himself accountable to goals / objectives
...takes personal responsibility for results.
Is a person you can trust.
Sets a good example.
Works in a way that makes others want to work with her/him.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides constructive feedback to others.
Recognizes and celebrates accomplishments of others.
Is open to receiving feedback.
Encourages employees through recognition of positive changes in behavior.
Supports the successes of other employees.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Clearly expresses expectations to others.
Deals effectively with employee grievances.
Discusses conflict situations with supervisor.
Assists team members by helping them see the other point of view.
Tries to understand others' point of view before making judgments
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Able to decline a poor strategy by proposing alternate strategies.
Communicates goals and objectives to employees.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.

61. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
62. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
63. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
64. Additional comments, if any for [Participant Name Here]'s assessment.