Trustworthy - 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

Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You take care to maintain confidential information.
You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
You work in a way that makes others want to work with you.
You consistently keep commitments.
You build and maintain the trust of others.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You hold team accountable to meeting goals.
You are someone who is trustworthy.
You implement and facilitate controls and processes that maintain the integrity of the organization.
You act like an owner when they make decisions.
You keep your word and do what you say you will do.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You protect the integrity and confidentiality of information
You establish relationships of trust, honesty, fairness, and integrity.
You do what was promised.
You develop trust and confidence from others.
You demonstrate honesty and truthfulness at all times.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You pursue self-improvement through continual learning.
You improve on your skill sets.
You build on your strengths while addressing your weaknesses.
You are open to new ideas and concepts.
You take the initiative to learn new skills.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You make sure that employees understand how their work relates to organizational goals.
You maintain self-control when personally criticized.
You set appropriate goals for employees.
You help guide employees with prioritizing tasks.
You function well under stress, deadlines, and/or significant workloads.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You achieve established goals.
You make sure that team members have a clear idea of our group's goals.
You make sure that I have a clear idea of our group's goals.
You establish and document goals and objectives.
You set challenging stretch goals
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are willing to do whatever it takes-not afraid to have to put in extra effort.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
You are able to focus on a task even when working alone.
You coordinate all department activities into a cohesive team effort.
You take immediate action toward goals.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You maintain good interpersonal relationships with representatives from the other party.
You conduct necessary preparations before engaging in negotiations.
You are able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
You establish clear communications to avoid misunderstandings.
You change communication styles to meet the listener's needs.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You sustain or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
You communicate goals and objectives to employees.
You monitor performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
You are able to decline a poor strategy by proposing alternate strategies.
You focus attention on treating the causes of problems rather than simply addressing the symptoms.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You attend [Company] gatherings and social events.
You follow existing procedures and processes.
You express loyalty and dedication to [Company] in interactions with others.
You impress upon others the important aspects of [Company].
You understand the use of [Company] products and services.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You anticipate potential challenges, develops plan to overcome them and then carries out the plan.
You are able to look ahead (beyond the present) when addressing the work/needs of the department.
You anticipate obstacles and ways to overcome them.
You are able to identify the needs of the department before a major change.
You work in an organized manner

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.