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 identify gaps between actual and needed technical competencies and provide recommendations for required training.
You use technology in decision making and problem solving.
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
You hold team accountable to meeting goals.
You create a consistent process for prioritizing work.
You are someone who is trustworthy.
You define roles, rights, and responsibilities of the team.
You encourage employees to take on greater responsibilities.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You do what was promised.
You maintain strong relationships with others.
You demonstrate sincerity in actions with others.
You accept responsibility for mistakes.
You develop trust and confidence from others.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are ready to offer help
You set an example for others to follow
You keep staff informed about what is happening in the company
You take responsibility for things that go wrong
You make others feel enthusiastic about your work
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You complete reports on-time.
You implement and use performance measures.
You have strong organizational skills to keep the workspace and department in order
You have strong technical/computer skills.
You are able to develop, justify and present a budget.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You work toward achievement of goals even when confronted with obstacles.
You demonstrate the personal confidence to "stay the course," even when faced with difficulty
You help others when free-time is available.
You encourage a high-energy, fun work environment and coaches others on how to do the same
You stay focused on meeting the needs of customers.
Customer Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You provide excellent service to customers.
I deliver customized solutions for each customer.
I ensure that commitments made to customers are completed to the customer's satisfaction.
You follow up with any unanswered questions from the customer.
I identify opportunities that enhance the customer's experience.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You set clear goals for others to accomplish.
You trust employees are able to complete assigned tasks.
You express confidence in the abilities of others.
You allow individuals to be responsible for their decisions.
You let employees make their own decisions.
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 adapt coaching and mentoring approach to meet the style or needs of individuals
You set and clearly communicate expectations, performance goals, and measurements to others
You take immediate action on poor performance
Partnering/Networking	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You develop a sense of trust in subordinates so they can freely interact and share information with others.
You maintain infrastructure to support partnerships and networks.
You collaborate with others to accomplish goals and objectives.
You forge mutually beneficial relationships between individuals with diverse backgrounds.
You build alliances between departments and teams.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You find unique ways to go around barriers to success.
You can work effectively in an environment of uncertainty.
You encourage risk taking for developing potential business opportunities.
You encourage dynamic growth opportunities.
You are able to adapt the department to changing business demands and climate.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are adept at navigating within the culture of the department.
You are able to deal with sensitive issues with tact and professionalism.
You understand the current organizational culture.
You are able to explain departmental policies and procedures to others.
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.