Performance - 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

Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Listens and responds to issues and problems
Shown significant improvement in job performance.
...Overall Performance
Works effectively in the department.
Able to organize work.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is an effective communicator
Able to deliver presentations.
Communicates effectively with colleagues and customers
Listens to others' points of view with an open mind
Delivers well-prepared, informed, poised and succinct presentations.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a consistent process for prioritizing work.
Can be counted on to do what they say they are going to do.
Keeps their word and does what they say they will do.
Is someone you can trust.
Takes responsibility for results.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops trust and confidence from others.
Maintains strong relationships with others.
Accepts responsibility for mistakes.
Does what was promised.
Protects the integrity and confidentiality of information
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep staff informed about what is happening in the company
Takes responsibility for things that go wrong
Sets an example for others to follow
Makes you feel enthusiastic about your work
Is ready to offer help
Administrative Skill	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Has strong technical/computer skills.
High attention to detail.
Strong organizational skills to keep the workspace and department in order
Implements and uses performance measures.
Takes responsibility for decisions.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to produce the best quality products.
Corrects issues in a timely manner.
Encourages others to achieve high quality standards.
Holds employees accountable for their quality of work.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does not become distracted by non-issues or interruptions.
Explains the "whys" behind organizational objectives
Encourages a high-energy, fun work environment and coaches others on how to do the same
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Provides clear expectations for employees.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively manages conflicts by dealing with them directly and immediately
Uses knowledge and charisma rather than position, power, or coercion to influence others
Anticipates the concerns of other employees.
Adapts management style to meet the needs of the individual or situation.
Is open and approachable
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets clear goals for others to accomplish.
Allows individuals to be responsible for their decisions.
Provides support and resources needed to accomplish goals.
Encourages employees to solve problems on their own.
Avoids micromanaging their employees.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes individuals for a specific outstanding achievement.
Says "thank you" to show appreciation for work of others.
Recognizes team members who offer a significant contribution to a project.
Lets employees know when they have done well
Offers recognition in a timely manner.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands & contributes to development of strategic goals.
Communicates goals and objectives to employees.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Able to decline a poor strategy by proposing alternate strategies.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.

61. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
62. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
63. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
64. Additional comments, if any for [Participant Name Here]'s assessment.