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
Acts quickly to create innovative products and services.
Effectively makes decisions
Works at a quick pace.
Works quickly to get the job done.
Displays high energy and enthusiasm on consistent basis.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Aware of their own cultural views.
Is open and honest in communications with individuals from other cultures.
Encourages a work environment where individual differences are valued.
Is aware of the similarities and differences among and between cultural groups.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Participates in training as needed to improve job performance.
Links qualitative objectives to quantitative key results.
Conveys expectations for meeting performance metrics.
Measures job performance of subordinates against defined goals and objectives.
Is consistent in disciplinary/corrective actions.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Solves problems using innovative solutions by keeping an open mind and considering the input from others.
Actively listens to others, considers their viewpoints, and incorporates these insights into the decision-making process.
Agile and versatile when dealing with issues.
Identifies new opportunities to achieve goals
Willing to try new approaches to solving problems if the current solution isn't working.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Begins immediate action on projects.
Guides strategic initiatives to advance the department/organization.
Quickly comes to the aid of those who may need help.
Is a self-starter. Does not wait to be told to do something.
Takes action to implement new changes in the policies and procedures.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Responds to changing events to maintain progress toward achieving results.
Highly motivated to complete tasks despite obstacles that may arise.
Has a work ethic with a strong desire to obtain results.
Sets priorities for tasks to be completed.
Recognizes the problem that needs to be solved.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Competent in managing customer projects.
Consistently exceeds customer expectations.
Gets feedback from the customer on a weekly basis.
Responds to feedback from customers.
Anticipates potential obstacles to meeting customer needs.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assigns tasks and responsibilities to develop skills of others.
Provides constructive feedback to others.
Creates a work environment that fosters positive feedback to employees.
Is open to receiving feedback.
Encourages employees through recognition of positive changes in behavior.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Facilitates open and honest communication to build trust and mutual respect.
Shares and develops cutting-edge ideas with a network of colleagues, fostering a culture of innovation and continuous improvement.
Networks with clients to determine improvements in operations.
Sustains existing partnerships guided by contracts and agreements.
Develops alliances with colleagues at other companies.
Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the use of [Company] products and services.
Understands how decisions impact other business units beyond their immediate department of work group.
Impresses upon others the important aspects of [Company].

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: