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.
Expresses the Company vision in a way that is easily understood and adopted by employees.
Communicates a vision of where the Company needs to be in the future.
Creates a positive vision of the future for the Company.
Leads employees in new directions.
Strategic Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Implements long-term solutions to problems.
Identifies root causes of problems.
Identifies potential problems before they become critical incidents.
Creates strategies that significantly benefit the Company.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Open to the suggestions of others.
Asks others for their ideas and opinions.
Actively seeks feedback from others.
Accepts the views of others.
Shares past experiences with others as learning opportunities.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyzes current procedures and identifies opportunities for improvement.
Searches for opportunities and innovative ways to improve the organization.
Creates a safe environment for idea-sharing.
Takes risks to advance important ideas.
Challenges current procedures to develop other alternatives.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains persistence and dedication to achieving results.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Committed to the team.
Encourages commitment in others to obtain results.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Checks details thoroughly.
Clearly explains the vision and goals of the company.
Attends to the important details of a job or task.
Provides a clear vision for the future.
Uses appropriate grammar and tense in communications.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps up-to-date with legislation affecting employees.
Creates documents and reports as needed to maintain compliance with regulations.
Ensures regulations are followed as required.
Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps the client informed of all progress.
Uses feedback from the client to help improve the client's experience.
Puts client's needs first.
Accepts responsibility for ensuring client satisfaction.
Focuses on providing excellent client service.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to solve problems on their own.
Allows the employees to have flexible work schedules.
Recognizes the accomplishments of employees when they complete important assignments.
Lets employees complete tasks according to their methods.
Is confident in the abilities of employees assigned important tasks.
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.
Seeks to reduce institutional roadblocks to information sharing.
Creates the conditions for partnerships to grow and develop.
Creates value within the Company by building networks.
Partners with peers to obtain influence within the Company.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective team player
Relates to all kinds of people tactfully
Recognizes and respects the contributions and needs of each individual.
Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
Shares credit for accomplishments with team members

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.