Vision- 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

Vision	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a common vision for others.
Understands the vision of the Company and promotes it ahead of any self-interests.
Communicates the vision and strategy of [Company]
Demonstrates consistency between words and actions
Communicates a vision of where the Company needs to be in the future.
Strategic Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works with others to develop insights into the resources and actions required to produce desired results.
Creates a mission statement describing the purpose for the organization.
Develops a strategic vision for the future.
Understands how to strategically grow the business and increase customers.
Ensures that the department's goals are strategically aligned with the company's goals.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Considers other's opinion and suggestions.
Actively seeks feedback from others.
Seeks feedback to enhance performance.
Is easy to approach with ideas and opinions.
Accepts the views of others.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Builds upon the ideas and solutions of others.
Takes risks to advance important ideas.
Develops new products and services.
Suggests new ideas at meetings.
Challenges current procedures to develop other alternatives.
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.
Encourages commitment in others to obtain results.
Takes immediate action toward goals.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Avoids creating ambiguity or mixed messages.
Is clear about goals that need to be achieved.
Communicates with clarity and efficiency.
Checks details thoroughly.
Attends to the important details of a job or task.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains historical records and documents as needed/required.
Provides documents and reports as needed to maintain compliance with laws.
Complies with trade agreements affecting international companies.
Complies with regulatory requirements for the state.
Ensures regulations are followed as required.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively troubleshoots client issues.
Creates customized solutions for the client.
Uses feedback from the client to help improve the client's experience.
Responds to the needs of the client.
Exhibits a positive attitude even when dealing with difficult clients.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Allows employees to participate in the workload of the department.
Provides support and resources needed to accomplish goals.
Recognizes that employees may need flexibility in their working hours.
Assigns tasks that allow employees to use their critical thinking skills.
Views others in the department as valued assets to be trained and employed.
Partnering/Networking	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Collaborates with others to accomplish goals and objectives.
Seeks an understanding of diverse functions within the Company.
Creates value within the Company by building networks.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes decisions that positively impact team performance.
Helps the team to bounce back from obstacles.
Facilitates good rapport between team members.
Effective team player
Encourages others to share ideas to develop team cohesion

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.