Attitude - 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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Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works to eliminate unnecessary work or barriers that get in others' way.
Visibly supports and encourages diversity in style and background.
Shows by their actions that they trust in the positive intentions of others.
Contributes to a positive and fun work environment.
Treats all people fairly and with respect.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Works effectively in dynamic and changing work environments.
Learns from personal experiences and/or mistakes.
Recognizes and implements changes to enhance efficiency and effectiveness.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Able to understand others' points of view.
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Is able to control their own emotions.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains good working relationships with employees.
Appropriately recognizes and rewards employees.
Provides constructive, ongoing feedback.
Treats all staff equitably.
Is aware of the unique strengths of each employee.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works effectively in the department.
Effective in performing his/her job.
Able to organize work.
Effectively organizes resources and plans
...Overall Performance
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Reflects on what is working and what could be improved.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Holds employees accountable for their quality of work.
Always strives to produce the highest quality work products.
Encourages others to achieve high quality standards.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keeps and maintains a To-Do list.
Does not become flustered by deadlines and timelines.
Prioritizes tasks to identify immediate and long-term objectives.
Deals effectively with interruptions.
Sets a good balance between work and family life.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to focus on a task even when working alone.
Takes immediate action toward goals.
Committed to the team.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Maintains persistence and dedication to achieving results.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Communicates goals and objectives to employees.
Able to decline a poor strategy by proposing alternate strategies.
Understands & contributes to development of strategic goals.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.

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: