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

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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 maximize the use of new technology to deliver products and services.
You understand and are committed to implementing new technologies.
You adopt the implementation of new technology into the workplace.
You apply complex rules and regulations to maintain optimal system performance.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You define roles, rights, and responsibilities of employees.
I set clear expectations for performance.
I inform my supervisor if progress on the task is delayed.
I maintain honesty and transparency in all communications.
You can be counted on to do your role well.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You conduct regular data handling training sessions for employees.
I create an environment where employees feel comfortable discussing concerns or suggestions, no matter how small.
I uphold strong moral and ethical standards, even when faced with challenges or temptations to compromise.
You create an environment where integrity is a central value of leadership.
I ensure employee compensation is administer fairly based on pre-established rules and regulations.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You lead the team through visible, disciplined execution that motivates others to maximize their own contributions.
I make decisions that deliver immediate value while advancing long-term strategic goals.
You create a strategy for achieving departmental objectives.
I acknowledge and celebrate achievements in real time, from tenure to growth to goal completion.
I facilitate collaboration across departments or teams to ensure project alignment and integration.
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I create labeled folders, indexes, or searchable databases.
I provide high-level administrative support and assistance.
I prioritize tasks to be complete within pre-established deadlines.
I prepare and review operational reports and schedules to ensure accuracy and efficiency.
I select and use training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You coordinate cross-functional efforts to ensure dependencies are addressed proactively.
You establish feedback loop to monitor progress and adjust plans dynamically.
You make sure employees have the resources they need to achieve their results.
You are a high achiever.
You produce a high volume of work.
Customer Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You consistently model positive customer service attitudes.
I identify the core needs of the customer.
I turn a routine customer interaction into something memorable.
I am committed to resolving customer issues in a positive way.
You ensure all customer commitments and requirements are met or exceeded.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I allow employees to take on more responsibilities.
You give employees autonomy to complete tasks on their own.
I coordinate the knowledge, skills and resources of others to accomplish more in the department.
I allow employees to take ownership of their work.
You give responsibility for making important decisions to employees.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You set and clearly communicate expectations, performance goals, and measurements to others
You work to identify root causes of performance problems
You give others development opportunities through project assignments and increased job responsibilities
You adapt coaching and mentoring approach to meet the style or needs of individuals
You provide ongoing feedback to co-workers on your development progress
Partnering/Networking	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I form strategic alliances with firms that specialize in areas that are complementary or help the company.
I partner with supply chain companies to enhance availability of resources and material.
I can easily explain the foundations (justification) for the partnership.
I build trust with colleagues and coworkers.
You partner with peers to obtain influence within the Company.
Entrepreneurship	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You encourage risk taking for developing potential business opportunities.
You find unique ways to go around barriers to success.
You encourage dynamic growth opportunities.
You maintain a high level of energy to respond to demands of the job.
You can work effectively in an environment of uncertainty.
Organizational Fluency	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You get things done through the department.
You are aware of other organizational cultures to compare/contrast with the current organizational culture.
You anticipate problems that may affect the department.
You understand departmental policies and procedures.
You are adept at navigating within the culture of the department.

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.