Action - 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

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Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delegates tasks and assignments to subordinates as soon as a request has been made.
Gets the job done.
Delegates decision-making authority to team members.
Ensures timely completion of tasks.
Drives and mobilizes others progress toward goals.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Enhances value to the company through additional training and development.
Demonstrates through personal behavior the commitment to high standards of performance.
Is committed to enhancing their own knowledge and skills.
Embraces new technology and procedures.
Exhibits willingness to upgrade skills through additional training and education.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Negotiates with others to obtain consensus.
Uses influence to shape thinking, not just actions - prompting reflection, reconsideration, or belief shifts.
Understands the core values and beliefs of the team members.
Exhibits good sense and moral character.
Leverages industry insights and benchmarks to support persuasive arguments and strategic recommendations.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
...Overall Performance
Works well in this position.
Sets a high standard for job performance.
Able to organize work.
Shown significant improvement in job performance.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Regularly audits the company's innovation effectiveness.
Fosters continuous improvement processes.
Equips employees with the necessary tools, technologies, and resources to explore new ideas.
Identifies the opportunities created by innovations.
Develops effective solutions for viewing problems from a different point of view.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Driven to complete goals despite obstacles that may arise.
Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
Is determined to complete tasks regardless of obstacles that may occur.
Leverages key performance indicators (KPIs) to track results and adjust strategies for optimal outcomes.
Responds to evolving demands by adjusting priorities ensuring continued progress.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Produces high quality work.
Takes a lot of pride in their work.
Is planful and organized.
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Follows up on inquiries in a timely manner.
Promotes acceptance of diverse viewpoints from team members.
Gives good advice and suggestions to coworkers.
Strives to lead by example to demonstrate the value of interpersonal relationships.
Respects other members of the team/department.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Meets regularly with employees to coach them on areas that will enhance their performance.
Creates opportunities for employees
Asks questions that challenge assumptions.
Participates in training offered for individuals interested in learning about coaching.
Offers coaching that has a maximum impact on the employee.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Firmly believes the company is making the best offer.
Establishes a positive connection with the other party to create a more collaborative atmosphere, making it easier to reach mutually beneficial agreements.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Develops a unified understanding or strategy that acknowledges and addresses the different viewpoints and resolves conflicts.
Engages in questioning to obtain necessary information and examine various alternatives.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Allows input from others for the 5-year plan.
Creates a timeline to specify when each phase of the project should be concluded.
Able to balance the needs of multiple stakeholders in developing the plan for the division.
Reduces uncertainty in the department through clear planning and schedules.
Involves relevant coworkers in the development of the 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.