Achievement - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. 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

Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Achievement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Set high standards in their performance
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Completes work to given time frame and to budget
Demonstrates a well-organized and timely approach to achieve desired results
Systematically works to improve the organization
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to do whatever it takes-not afraid to have to put in extra effort.
Able to focus on a task even when working alone.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Maintains persistence and dedication to achieving results.
Encourages commitment in others to obtain results.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports safety programs and procedures.
Ensures that all supervisors are aware of regulatory and compliance measures.
Encourages others to attend safety training.
Commits adequate resources toward safety measures.
Develops safety guidelines for the department.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adapts to new organizational structures, policies, or procedures.
Is open to alternative ways to accomplish goals
Works effectively during periods of change.
Open to the perspectives/viewpoints of others.
Encourages others to adopt new procedures.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Completes a large volume of work.
Identifies ways to simplify work processes and reduce cycle times
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Displays high energy and enthusiasm on consistent basis.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fosters a diverse workforce free from discrimination and harassment.
Respects others regardless of age, race, gender, nationality, or disability.
Encourages a work environment where individual differences are valued.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Seeks out different viewpoints and benefits from different perspectives.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies opportunities for progress and innovation.
Balances risks and costs with the rewards and probabilities of success when decisions.
Asks the "right" questions to size up or evaluate situations.
Analyzes data and information from several sources and arrives at logical conclusions.
Identifies problems and issues needing resolution.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes action without being asked.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Goes above and beyond the stated goals.
Immediately works to complete goals well before their deadline.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements best practices within the department.
Suggests new ideas at meetings.
Encourages open communication to ensure that all proposals are considered.
Creates a safe environment for idea-sharing.
Analyzes current procedures and identifies opportunities for improvement.

46. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




47. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


48. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    


49. What changes do you see [Company] making in order to raise the standards?
    
    


50. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


51. What do you like best about working for [Company]?
    
    


52. What do you like least about working for [Company]? How could it be improved?
    


93. Use the space below to enter any final comments you would like to be noted: