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 deliver on promises made.
You work in a way that makes others want to work with you.
You demonstrate congruence between statements and actions.
You build and maintain the trust of others.
You demonstrate a sense of responsibility and commitment to public trust.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I will commit to leading the initiatives to solving critical issues.
You act like an owner when they make decisions.
You continue to work diligently on a problem despite setbacks.
You take full responsibility for project outcomes.
You show up for work on time.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You maintain strong relationships with others.
You follow tasks to completion.
You protect the integrity and confidentiality of information
You demonstrate sincerity in actions with others.
You do what was promised.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You build on your strengths while addressing your weaknesses.
You seek opportunities to grow in skills and knowledge.
You take the initiative to learn new skills.
You grasp new ideas, concepts, technical, or business knowledge.
You pursue professional development opportunities when they arise.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You function well under stress, deadlines, and/or significant workloads.
You stay focused even when under pressure and stress.
You help guide employees with prioritizing tasks.
You are excellent at managing time.
You maintain self-control when personally criticized.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You understand and contribute to development of strategic goals.
You make sure that team members have a clear idea of our group's goals.
You establish and document goals and objectives.
You set challenging stretch goals
You achieve goals.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You take immediate action toward goals.
You are able to focus on a task even when working alone.
You maintain persistence and dedication to achieving results.
You create a sense of urgency among the store team members to complete activities, which drive sales.
You encourage commitment in others to obtain results.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are resolute when stating priorities and non-negotiables.
You stay calm and focus on the core issues to be discussed.
You are able to control your emotional responses and correctly gauge the emotions of others.
You understand the expectations of other parties in the negotiation.
You know where to stand firm and where to compromise.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I monitor company performance and make adjustments to the strategic plan as needed.
You focus efforts on specific marketing strategies.
You create deadlines for various components of the strategy.
I communicate the company's strategic goals and decisions to teams and departments.
I develop strategies that are practical and can be feasibly implemented within a reasonable period of time.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You express loyalty and dedication to [Company] in interactions with others.
You impress upon others the important aspects of [Company].
You follow existing procedures and processes.
You understand how decisions impact other business units beyond your immediate department of work group.
You attend [Company] gatherings and social events.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I analyze market trends to plan the best course of action.
I develop plans to help manage expectations and project demands.
You notify staff when the plan is not on schedule.
You set up and monitor timeframes and plans
I make strategic and tactical decisions to guide the logistics process.

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.