Action - 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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Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates needs and takes pre-emptive action to address the issue.
Identifies needs and takes steps to address them.
Completes tasks on time in spite of delays in the process.
Effectively handles multiple complex issues simultaneously.
Adapts approach to overcome significant obstacles.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the impact that our culture may have on interactions between individuals.
Understands what customs and etiquette are important for individuals from other cultures.
Actively listens to diverse viewpoints without judgment or dismissal.
Values the diverse perspectives from others.
Demonstrates fairness and impartiality when resolving conflicts involving cultural differences
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures employees understand how work is to be completed.
Aligns individual and team performance expectations with the organization's expectations.
Makes sure the team's goals are met.
Links qualitative objectives to quantitative key results.
Recognizes team members when they contribute significantly to the team.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Will pivot strategies, operations, or processes in real-time to meet new challenges or seize new opportunities.
Encourages others to adopt new procedures.
Capable of delivering a diverse range of goods and services to meet various business requirements.
Embraces issues as opportunities to learn and grow.
Maintains an adaptive mindset crucial for navigating the dynamic challenges and opportunities that arise in business environments.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes tasks without having to be told to do so.
Helps the department take the initiative to create new solutions.
When working on a problem in a team, they are often the first to suggest possible solutions.
Begins a task and follows through until completion.
Initiates draft documents for the director.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates expectations clearly and ensures alignment across roles.
Learns from setbacks and integrates lessons into future planning.
Adjusts plans based on performance trends, stakeholder feedback, or changing conditions.
Has a positive attitude that encourages others to continue supporting the production goals.
Celebrates team achievements to reinforce a culture of excellence.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses customer feedback to help improve products and services.
Creates new and innovative products for customers.
Creates innovative solutions to meet customer needs.
Creates documents that meet the customer's specifications.
Understands the needs of the customer.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes and celebrates accomplishments of others.
Creates a work environment that fosters positive feedback to employees.
Encourages employees through recognition of positive changes in behavior.
Assigns tasks and responsibilities to develop skills of others.
Provides constructive feedback to others.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Forms collaborative relationships with others.
Collaborates with other companies to inject capital in exchange for equity, fostering growth and expansion for the partner organization.
Manages effective partnerships between public, private, and non-profit sectors.
Forms strategic partnerships and business alliances to expand opportunities.
Provides or participates in joint ventures or co-development projects.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees see their work as a reflection of the company's purpose and legacy.
Creates reasonable and timely policies regarding social media.
Empowers employees to participate in volunteer efforts and community service programs.
Creates a sense of momentum and forward progress.
Provides responsive and reliable support services.

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

    -Excellent -Good -Average -Poor




52. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
53. 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?
    
    
    
54. What changes do you see [Company] making in order to raise the standards?
    
    
    
55. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
56. What do you like best about working for [Company]?
    
    
    
57. 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: