Conflict Management- 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

Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to influence others to accept certain positions.
Researches the needs of the other party to identify strengths and weaknesses of positions.
Establishes good working relationships with others.
Establishes clear communications to avoid misunderstandings.
Influences others through rational argument and persuasion.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves established goals.
Achieves goals.
Makes sure that team members have a clear idea of our group's goals.
Makes sure that I have a clear idea of our group's goals.
Juggling Multiple Responsibilities	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures that assignments are prioritized according to the needs of the department/company.
Keeps track of multiple assignments and deadlines.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Begins tasks as soon as possible.
Uses a scheduler/planner to keep tasks organized and on time.
Commitment To Result	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages commitment in others to obtain results.
Coordinates all department activities into a cohesive team effort.
Committed to the team.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Takes immediate action toward goals.
Clarity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Attends to the important details of a job or task.
Clearly explains the vision and goals of the company.
Clearly explains responsibilities to individuals.
Checks details thoroughly.
Clearly defines work objectives for employees.
Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Offers training on various subjects to help ensure employees are aware of regulations.
Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
Creates documents and reports as needed to maintain compliance with regulations.
Is aware of the documents and reports needed to maintain compliance with regulations.
Maintains a state of readiness to address new and changing regulations and procedures.
Supervisory Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Appropriately recognizes and rewards employees.
Determines which team members are to be promoted to the next higher level.
Demonstrates empathy, respect, and openness to employees.
Is clear about the expectations that employees will be held accountable for.
Communicates equally well with all employees.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides constructive feedback in a way that fosters acceptance and development.
Is open and approachable
Is someone you can trust.
Offers constructive criticism to have a positive impact on performance.
Is a committed and reliable partner.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Allows the team to take responsibility for the project.
Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
Demonstrates confidence in the abilities of subordinates.
Supports the decisions of others.
Values the expertise that others bring to the team.

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

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

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