Trustworthy - 360 Degree Feedback Survey Sample #6

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 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 and . 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

Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Delivers on promises made.
Takes ownership, delivers on commitments
Is trustworthy; is someone I can trust.
Demonstrates a sense of responsibility and commitment to public trust.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can be counted on to do what they say they are going to do.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Acts like an owner when they make decisions.
Defines roles, rights, and responsibilities of the team.
Is someone you can trust.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates honesty and truthfulness at all times.
Fosters an environment built upon trust.
Establishes relationships of trust, honesty, fairness, and integrity.
Protects the integrity and confidentiality of information
Follows tasks to completion.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Grasps new ideas, concepts, technical, or business knowledge.
Sets relevant learning objectives and goals.
Shares best practices with others and learns from others.
Pursues self-improvement through continual learning.
Builds on their strengths while addressing their weaknesses.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Stays focused even when under pressure and stress.
Maintains self-control when personally criticized.
Helps guide employees with prioritizing tasks.
Makes sure that employees understand and identify with the team's mission.
Makes sure that employees understand how their work relates to organizational goals.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands & contributes to development of strategic goals.
Makes sure that I have a clear idea of our group's goals.
Sets high expectations and goals; encourages others to support the organization.
Makes sure that team members have a clear idea of our group's goals.
Achieves goals.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Committed to the team.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Able to focus on a task even when working alone.
Coordinates all department activities into a cohesive team effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Researches the needs of the other party to identify strengths and weaknesses of positions.
Leverages relationships with others to achieve goals.
Influences others through rational argument and persuasion.
Maintains communication channels between parties in the negotiation.
Able to control their emotional responses and correctly gauge the emotions of others.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands & contributes to development of strategic goals.
Communicates goals and objectives to employees.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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.
Attends [Company] gatherings and social events.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works in an organized manner
Delegates role to team members to accomplish goals.
Anticipates obstacles and ways to overcome them.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.

56. Overall, please rate the effectiveness of .
    

    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 's assessment.