360 Degree Survey

In an ongoing effort to reinforce performance coaching fundamentals, you are asked to respond to the statements that follow. Please read each statement carefully, refer to the rating scale provided, and decide to what extent ________ engages in the behavior described.

You will use a 7-point rating scale, from 'Needs Significant Improvement' to 'Role Model'.

In assessing each statement please ensure your selection accurately reflects your experience (i.e., do not respond on the basis of "what you would like to do" or, "what you think the right answer is.") Respond on the basis of your actual observations.

When you have completed the assessment click "Complete". Your assessment will be processed and combined with the results of the "other assessments" filled out by other, peers, direct reports and supervisors. _______ will receive summary feedback at the conclusion of this survey project.

The data you receive will be confidential (with the exception of supervisor's feedback). You will not be able to determine the origin of any individual assessment, and your feedback summary will not be forwarded to any direct reports. This Leadership Feedback exercise is intended for your ongoing growth and development.

To what extent does _______ typically engage in the following behaviors? Select the response option that best applies to each statement.

Needs
Significant
Improvement
Needs
Some
Development
Capable and
Effective
Role
Model
  1. Gives accurate and constructive feedback
  1. Effective in building high functioning teams
  1. Facilitates opportunities for employee development
  1. Open to feedback from others
  1. Is an effective team member
  1. Identifies new opportunities for the department
  1. Provides accurate information to others
  1. Acts as a coach and mentor to subordinates
  1. Completes a high amount of work

Needs
Significant
Improvement
Needs
Some
Development
Capable and
Effective
Role
Model
  1. Supports the company strategic goals
  1. Understands the factors that impact the department
  1. Open to the suggestions from others
  1. Effective leader in stressful situations
  1. Resolves employee conflicts for a win-win conclusion
  1. Listens to employee ideas and proposals
  1. Incorporates feedback from others
  1. Plans and develops strategic objectives
  1. Able to communicate the vision of the organization
  1. Supports the professional development of others

Needs
Significant
Improvement
Needs
Some
Development
Capable and
Effective
Role
Model
  1. Looks for innovative ways to solve problems
  1. Is a trustworthy person
  1. Shares the values of the organization
  1. Engages in professional development opportunities
  1. Solves the root causes of problems
  1. Shows employees how their job supports the department
  1. Gains commitment by influence and persuasion
  1. Communicates effectively in presentations
  1. Understands how organizational changes affect employees
  1. Ensures everyone understands the discussions

Needs
Significant
Improvement
Needs
Some
Development
Capable and
Effective
Role
Model
  1. Has a high quality of work
  1. Checks details of work
  1. Obtains "buy-in" from employees when making organizational changes
  1. Effective in communicating ideas and concepts
  1. Aligns the goals of the department with the organization
  1. Respected by other team members
  1. Effective in making decisions
  1. Provides assistance and support to other team members when needed
  1. Follows up on suggestions of co-workers

Needs
Significant
Improvement
Needs
Some
Development
Capable and
Effective
Role
Model
  1. Maintains the trust and confidence of others
  1. Works diligently toward the completion of goals
  1. Is open and approachable
  1. Supports the use of technology and new software
  1. Seeks collaboration and teamwork among departments and team members
  1. Effective in analyzing data
  1. Supports the professional development of others
  1. Converts strategic plans into action and results
  1. Encourages innovative thinking by others




Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.



Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


Overall, how would you rate performance and why?





Other Comments:


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