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

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Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You build and maintain the trust of others.
You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
You take care to maintain confidential information.
You take ownership, deliver on commitments
You deliver on promises made.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You define roles, rights, and responsibilities of the team.
I document performance goals through an individual development plan.
I take full responsibility for results.
I ensure that employees are compensated fairly and in accordance with established policies.
I set clear performance measures.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You exemplify integrity and responsibility both publicly and privately.
You always conduct yourself in an honest and upfront manner
You follow ethical standards and principles, regardless of the situation.
You conduct regular audits of data protection practices.
I exemplify a high degree of business ethics, integrity, honesty, and fairness.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You pursue learning that will enhance job performance.
You build on your strengths while addressing your weaknesses.
You share best practices with others and learn from others.
You take the initiative to learn new skills.
You pursue professional development opportunities when they arise.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You lead by example to guide employees in the completion of tasks.
You are excellent at managing time.
You create operational models to focus the organization's resources on achieve its strategic priorities.
I pay close attention to how tasks are distributed among employees.
You anticipate potential challenges or obstacles that might derail department plans.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You recognize each person's strengths and needs to foster a collaborative environment for achieving shared goals.
I allocate time and resources for when each task should be started and finished.
You aid and facilitate attainment of departmental goals.
I maintain focus and avoid disruptions to achieve goals.
You are aware of the objectives and intentions that assigned goals aim to achieve.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
You are willing to do whatever it takes-not afraid to have to put in extra effort.
You are committed to the team.
You take immediate action toward goals.
You create a sense of urgency among the store team members to complete activities, which drive sales.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You find shared interests and solutions that benefit all parties involved.
You justify viewpoints using strong and credible data.
I create a constructive atmosphere, building a positive relationship for cooperative negotiations.
You ensure a thorough understanding of key issues and priorities.
I am aware of wht problems need to be solved.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You monitor performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
You caft and execute strategies to advance the company.
You make sure employees understand the strategy and goals.
I identify and address strategic risks impacting operations.
I develop a strategic plan to focus on strategic issues.
Company	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I strive to maintain the company's edge by delivering high-quality, market-relevant offerings
I model ethical behavior in high-pressure situations and encourage others to do the same.
You effectively organize teams in the division.
You maintain positive relationships between the [Company] and the community.
I offer leadership that inspires bold thinking and long-term impact.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You understand what materials will be required to successfully implement the plan.
You are able to closely follow the plan established for the department.
I am able to stay organized and focused using excellent planning skills.
I develop plans to help manage expectations and project demands.
You ensure that everyone in the department is onboard with the current plan.

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.