Time Management - 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

Time Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Avoids distractions in the workplace.
Prioritizes tasks to identify immediate and long-term objectives.
Focuses on tasks that have high priority.
Makes time for developing plans and schedules.
Leaves time in the schedule for unplanned contingencies.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works toward achievement of goals even when confronted with obstacles.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Inspires and motivates co-workers to be productive and energetic at work
Encourages a high-energy, fun work environment and coaches others on how to do the same
Explains the "whys" behind organizational objectives
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the applicable regulations and laws that impact our business.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Explains regulations and procedures to others as required.
Follows all safety regulations and procedures.
Understands and adheres to internal and external regulations.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Looks for opportunities that have a positive impact on Clients.
Maintains strong relationships with clients.
Is pro-active in dealing with clients and addressing their needs.
Ensures client commitments and requirements are met or exceeded
Forms strong client relationships
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps employees to understand responsibilities, authority, and expectations.
Develops the skills and capabilities of others.
Helps employees to maintain high personal standards.
Provides clear, motivating, and constructive feedback.
Meets regularly with employees to coach them on areas that will enhance their performance
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Changes communication styles to meet the listener's needs.
Stays calm and focuses on the core issues to be discussed.
Able to control their emotional responses and correctly gauge the emotions of others.
Conducts necessary preparations before engaging in negotiations.
Leverages relationships with others to achieve goals.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the "basics" as to how [Company] functions/operates.
Attends [Company] gatherings and social events.
Expresses loyalty and dedication to [Company] in interactions with others.
Follows existing procedures and processes.
Understands the use of [Company] products and services.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in incorporating new ideas.
Open to the perspectives/viewpoints of others.
Can handle changes without complaining.
Adapts to new organizational structures, policies, or procedures.
Willing to try new ideas.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Considers other's opinion and suggestions.
Open to the suggestions of others.
Is visible and approachable.
Is easy to approach with ideas and opinions.
Accepts the views of others.
Supervisory Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to achieve their full potential.
Provides constructive, ongoing feedback.
Promotes teamwork and cooperation within the department.
Appropriately recognizes and rewards employees.
Delegates effectively.
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Solves problems using logic and insight.
Is a good problem solver and decision maker
Ability to develop innovative solutions to problems.
Effective in solving problems.
Identifies and assesses all potential responses to a problem.

56. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
57. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
58. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
59. Additional comments, if any for [Participant Name Here]'s assessment.