Attitude - 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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Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Contributes to a positive and fun work environment.
Works to eliminate unnecessary work or barriers that get in others' way.
Visibly supports and encourages diversity in style and background.
Contributes to a positive work environment.
Treats all people fairly and with respect.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Flexible and open to new ideas and encourages others to recognize the value of change.
Effective in working with different personnel of the team.
Is open to changes in policies and procedures.
Adjusts strategy when new information is presented.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to control their own emotions.
Is able to manage their own emotions.
Able to understand others' points of view.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to express themselves clearly.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Instructs employees on the proper way to perform tasks.
Enhances teamwork through good supervision.
Sets the objectives to be completed for the shift.
Exemplifies professionalism in the workplace.
Is diligent about completing performance assessments on time.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively organizes resources and plans
Effective in performing his/her job.
...Overall Performance
Able to organize work.
Shown significant improvement in job performance.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures high consistency across batches or production runs.
Identifies appropriate sources of quality standards.
Makes sure cleanliness standards are met to reduce the possibility of contamination.
Always strives to produce the highest quality work products.
Reflects on what is working and what could be improved.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Regularly delivers results on-time.
Consistently meets the project schedule.
Is committed to finishing the most important tasks.
Diligently records billable hours.
Uses automation when possible to save time.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Encourages commitment in others to obtain results.
Coordinates all department activities into a cohesive team effort.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Takes immediate action toward goals.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Maintains a strategic focus on external factors impacting the success of the company.
Develops strategies to effectively use company resources and exploit potential opportunities.
Develops a strategic plan for adapting the organization to better respond to external changes in the marketplace.
Ensures that the department's goals are strategically aligned with the company's goals.

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: