Leadership - 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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Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes and rewards employee contributions to the team effort.
Creates an environment that supports learning and development.
Implements decision and evaluates results.
Inspires a shared vision of being the best.
Motivates and challenges employees to attain a shared vision.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Analyzes processes to determine areas for improvement.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to expand current job responsibilities.
Fosters a culture of open communication and continuous improvement.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Contributing fully to the extent of their skills
Allows employees to fully participate in employee training and professional development.
Encourages employees to take courses relevant to their job.
Seeks opportunities for professional development.
Keep themselves up-to-date of technical/professional issues
Project Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses appropriate technology to efficiently communicate with team members.
Creates the communications that will be used throughout the project's implementation.
Ensures resources are utilized at the appropriate levels for each phase of the project.
Regularly measures and records progress of the project.
Locates the financial resources to budget for the project.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies fresh approaches to solving problems.
Coordinates the activities of the innovation steering committee.
Encourages a search for radical innovation opportunities to obtain major breakthroughs.
Enhances the feasibility and impact of new ideas through careful analysis and iterative improvements.
Is able to think through complex problems using unique solutions.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Rapidly completes tasks and assignments.
Operates with relentless drive, consistently meeting and surpassing deadlines.
Holds others to high standards of achievement.
Defines precise, structured objectives that helps the department progress and holds employees accountable.
Successfully launched the ABC project.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Produces high quality work.
Is planful and organized.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages others to attend safety training.
Creates accurate and effective measures of safety.
Commits adequate resources toward safety measures.
Mitigates hazards and safety issues that arise.
Encourages others to work safely.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Structures learning activities to ensure employees are able to develop the knowledge and skills needed to succeed.
Inquires about employee's accomplishments.
Offers constructive feedback to improve performance.
Gives factual, specific and non-judgmental feedback.
Assists employees in achieving higher engagement levels and commitment to the organization.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Stays calm and focuses on the core issues to be discussed.
Is prepared to walk away if core interests are not met.
Bases arguments on objective standards or criteria, such as market value, legal standards, or expert opinions.
Develops a unified understanding or strategy that acknowledges and addresses the different viewpoints and resolves conflicts.
Adjusts methods to suit the current situation.

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

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

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