Technology Use/Management - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to participate in a 360-assessment. As part of this process you will need to complete the self-assessment questionnaire below.

In responding to the questions below, think about your experiences over the last 12 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. A report will be shared with you at the conclusion of this project.

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

Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You maximize the use of new technology to deliver products and services.
You apply complex rules and regulations to maintain optimal system performance.
You support employee training and development initiatives regarding implementation of technology.
You understand and are committed to implementing new technologies.
You support technical training and development of employees.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I provide clear reasons for underperformance.
You work hard to ensure the success of the department.
You take charge of addressing and solving problems.
You keep you supervisor informed of recent events.
I take personal responsibility for the quality of my work.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You maintain strong relationships with others.
You demonstrate honesty and truthfulness at all times.
You follow tasks to completion.
You foster an environment built upon trust.
You do what was promised.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are ready to offer help
You take responsibility for things that go wrong
You delegate tasks effectively
You keep staff informed about what is happening in the company
You make others feel enthusiastic about your work
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are able to develop, justify and present a budget.
You have a high attention to detail.
You have strong technical/computer skills.
You complete reports on-time.
You accurately implement contract provisions.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I determine the proper order for completion of the tasks.
You set a common goals for the team.
I determine what resources will be needed to achieve the objectives.
I am flexible and willing to change the strategy to better achieve the objectives.
You explain the "whys" behind organizational objectives
Customer Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You use customer feedback to help improve products and services.
You create high quality products for the customers.
You are aware of what the customer wants to receive.
You develop good rapport and trust with the customer.
I make sure customer needs are understood by the team members.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I allow employees the freedom to do tasks how they see fit, but hold them accountable for obtaining results.
You permit employees to take training to become more independent.
I allow employees to organize their schedule to best accomplish the job.
You recognize the contributions that others make to the department.
I value the expertise that others bring to the team.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You provide ongoing feedback to co-workers on your development progress
You work to identify root causes of performance problems
You set and clearly communicate expectations, performance goals, and measurements to others
You take immediate action on poor performance
You adapt coaching and mentoring approach to meet the style or needs of individuals
Partnering/Networking	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I am able to highlight both the strategic benefits and potential pitfalls in collaboration.
You willingly participate on committees and project teams.
You align efforts, processes, and resources with partners to maximize strategic opportunities.
You create an environment that supports information exchange.
You host industry events or meetups to bring partners and networks together.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are excellent at managing relationships with stakeholders.
You have a strategic awareness on how to promote the organization.
You balance risks and rewards when making decisions.
You devote a certain amount of time and effort to developing new business opportunities.
You exhibit determination and passion in completion of goals.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are effective in communicating with others within the organization.
You are aware of other organizational cultures to compare/contrast with the current organizational culture.
You are adept at navigating within the culture of the department.
You get things done through the department.
You are able to use corporate politics to advance department objectives.

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.