Achievement - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. 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 our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment 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 and . 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.

---

Achievement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Systematically works to improve the organization
Completes work to given time frame and to budget
Accepts setbacks and challenges as improvement opportunities
Demonstrates a well-organized and timely approach to achieve desired results
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Committed to the team.
Maintains persistence and dedication to achieving results.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Takes immediate action toward goals.
Able to focus on a task even when working alone.
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Points out behaviors in others that may be unsafe.
Identifies predictable hazards in the workplace.
Develops safety guidelines for the department.
Participates in safety training when available.
Ensures compliance with safety regulations.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages others to adopt new procedures.
Adapts to new organizational structures, policies, or procedures.
Willing to try new ideas.
Effective in incorporating new ideas.
Is open to alternative ways to accomplish goals
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Displays high energy and enthusiasm on consistent basis.
Seeks and utilizes opportunities for continuous learning and self-development.
Conveys a sense of urgency about addressing problems and opportunities
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Identifies ways to simplify work processes and reduce cycle times
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Encourages a work environment where individual differences are valued.
Seeks out different viewpoints and benefits from different perspectives.
Treats others with dignity and respect.
Values the opinions of diverse groups and individual.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Can effectively interpret and analyze data.
Uses appropriate techniques to solve problems.
Identifies the root cause of a problem.
Actively seeks constructive feedback from others.
Analyzes data and information from several sources and arrives at logical conclusions.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks and utilizes opportunities for continuous learning and self-development.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Immediately works to complete goals well before their deadline.
Takes the initiative to change the direction or course of events.
Prepares for unexpected contingencies.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes current procedures and identifies opportunities for improvement.
Challenges current procedures to develop other alternatives.
Builds upon the ideas and solutions of others.
Offers constructive improvements to existing systems.
Suggests new ideas at meetings.

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: