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
Does not procrastinate.
Completes high-priority work within required timelines.
Deals effectively with interruptions.
Sets clearly defined goals.
Does not become flustered by deadlines and timelines.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps others when free-time is available.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Directs team in prioritizing daily work activities
Does not become distracted by non-issues or interruptions.
Works toward achievement of goals even when confronted with obstacles.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
Follows all safety regulations and procedures.
Keeps informed of various regulations and procedures.
Is professional and courteous in interactions with auditors and regulators.
Understands the applicable regulations and laws that impact our business.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Transparent in all communications with the client.
Ensures commitments made to clients are completed to the client's satisfaction.
Exceeds expectations of the clients.
Responds to the needs of the client.
Creates an environment that enables clients to receive excellent service.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Addresses employee behavior problems effectively.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Provides clear, motivating, and constructive feedback.
Conducts regular performance appraisals and feedback.
Develops the skills and capabilities of others.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies verbal and nonverbal cues to help interpret actions and messages.
Able to say "no" when it is essential to maintaining quality and high standards.
Able to influence others to accept certain positions.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands how decisions impact other business units beyond their immediate department of work group.
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Implements changes as a result of having listened to employees
Is open to alternative ways to accomplish goals
Encourages others to adopt new procedures.
Able to adapt to new situations.
Adapts to circumstances as needed.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts the views of others.
Open to the suggestions of others.
Seeks feedback to enhance performance.
Is easy to approach with ideas and opinions.
Shares past experiences with others as learning opportunities.
Supervisory Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Facilitates open communication between employees.
Leads others through their commitment to the department.
Conducts regular progress meetings to ensure adherence to the schedule.
Completes assessments in a timely manner.
Fosters a positive work environment in the department.
Problem Solving	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes judgments based upon relevant information.
Actively seeks the root cause of a problem.
Implements effective solutions to critical problems.
Is a good problem solver and decision maker
Ability to develop innovative solutions to problems.

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.