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
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Is knowledgeable of procedures or systems necessary for the job.
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
Knows how to produce high quality products/work.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Open to the perspectives/viewpoints of others.
Adapts to new organizational structures, policies, or procedures.
Willing to try new ideas.
Adapts to circumstances as needed.
Effective in incorporating new ideas.
Adaptability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops insights and applies innovative solutions to projects and problems.
Adjusts tactics when things are not working as expected.
Effective in working with different personnel of the team.
Is aware of changes to the policies and procedures.
Adjusts priorities to the new Corporate mission.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for things that go wrong
Is ready to offer help
Delegate tasks effectively
Sets an example for others to follow
Makes you feel enthusiastic about your work
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.
Stays focused even when under pressure and stress.
Aligns the department's goals with the goals of the organization.
Functions well under stress, deadlines, and/or significant workloads.
Excellent at managing time.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Corrects issues in a timely manner.
Holds employees accountable for their quality of work.
Always strives to produce the highest quality work products.
Encourages others to achieve high quality standards.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies and assesses all potential responses to a problem.
Able to balance the needs of different people in a solution to a problem.
Makes judgments based upon relevant information.
Understands the root causes of problems.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Coordinates all department activities into a cohesive team effort.
Able to focus on a task even when working alone.
Takes immediate action toward goals.
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
Works in a way that makes others want to work with her/him.
Sets a good example.
Behavior is ethical and honest.
...takes personal responsibility for results.
Sets high personal standards of performance.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assigns tasks and responsibilities to develop skills of others.
Creates a work environment that fosters positive feedback to employees.
Recognizes and celebrates accomplishments of others.
Assesses employees' developmental needs.
Provides constructive feedback to others.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Clearly expresses expectations to others.
Assists team members by helping them see the other point of view.
Deals effectively with employee grievances.
Tries to understand others' point of view before making judgments
Identifies and takes steps to prevent potential confrontations.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Determines the best strategy for achieving elevated levels of performance.
Identifies and addresses strategic risks impacting operations.
Creates values statement to ensure all employees are working under the same guiding principles.
Successfully implements a strategic plan.
Monitors company performance and makes adjustments to the strategic plan as needed.

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.