Action - 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.

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Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works quickly when faced with difficult problems.
Drives and mobilizes others progress toward goals.
Displays high energy and enthusiasm on consistent basis.
Effectively makes decisions
Makes effective decisions, even when under pressure.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Respects others regardless of age, race, gender, nationality, or disability.
Encourages a work environment where individual differences are valued.
Shows respect in daily interactions
Seeks out different viewpoints and benefits from different perspectives.
Treats others with dignity and respect.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is consistent in disciplinary/corrective actions.
Recognizes and values good performance.
Prioritizes the work of others.
Sets specific and measurable goals for others and follows through to completion.
Makes sure commitments are understood and met.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies new opportunities to achieve goals
Adapts to circumstances as needed.
Is open to alternative ways to accomplish goals
Willing to try new ideas.
Able to adapt to new situations.
Initiative	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.
Takes the initiative to change the direction or course of events.
Seeks and utilizes opportunities for continuous learning and self-development.
Prepares for unexpected contingencies.
Immediately works to complete goals well before their deadline.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Encourages a high-energy, fun work environment and coaches others on how to do the same
Stays focused on meeting the needs of customers.
Directs team in prioritizing daily work activities
Explains the "whys" behind organizational objectives
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...friendliness and courtesy
Consistently models positive customer service attitudes.
Develops good rapport and trust with the customer.
Develops strong customer relationships.
Ensures all customer commitments and requirements are met or exceeded.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assigns tasks and responsibilities to develop skills of others.
Creates opportunities for professional development.
Supports the successes of other employees.
Encourages employees through recognition of positive changes in behavior.
Provides constructive feedback to others.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports a partnering/networking culture.
Partners with peers to obtain influence within the Company.
Builds alliances between departments and teams.
Collaborates with others to accomplish goals and objectives.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].
Attends [Company] gatherings and social events.
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the "basics" as to how [Company] functions/operates.

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: