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
Willingly shares his/her technical expertise; sought out as resource by others
Knows how to produce high quality products/work.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Willingly shares information and expertise; sought out as resource by others
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can handle changes without complaining.
Identifies new opportunities to achieve goals
Encourages others to adopt new procedures.
Is open to alternative ways to accomplish goals
Willing to try new ideas.
Adaptability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adjusts plans to meet new situations.
Able to respond to incidents without stopping the workflow.
Adjusts priorities to changing business goals.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Learns from personal experiences and/or mistakes.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is ready to offer help
Delegate tasks effectively
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Aligns the department's goals with the goals of the organization.
Maintains focus when handling several problems or tasks simultaneously.
Makes sure that employees understand and identify with the team's mission.
Stays focused even when under pressure and stress.
Functions well under stress, deadlines, and/or significant workloads.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages others to achieve high quality standards.
Encourages others to produce the highest quality work products.
Reflects on what is working and what could be improved.
Always strives to produce the highest quality work products.
Encourages employees to produce the best quality products.
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a good problem solver and decision maker
Effective in solving problems.
Able to balance the needs of different people in a solution to a problem.
Actively seeks the root cause of a problem.
Ability to develop innovative solutions to problems.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Maintains persistence and dedication to achieving results.
Able to focus on a task even when working alone.
Committed to the team.
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
Sets a good example
Sets high personal standards of performance.
Is a person you can trust.
Sets a good example.
Responsible for setting the vision of the department.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Tries to ensure employees are ready to move to the next level.
Creates opportunities for professional development.
Assigns tasks and responsibilities to develop skills of others.
Encourages employees through recognition of positive changes in behavior.
Provides constructive feedback to others.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Discusses conflict situations with supervisor.
Identifies and takes steps to prevent potential confrontations.
Assists team members by helping them see the other point of view.
Deals effectively with employee grievances.
Clearly expresses expectations to others.
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.
Communicates goals and objectives to employees.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
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.