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
Visibly supports and encourages diversity in style and background.
Contributes to a positive work environment.
Builds open and trusting relationships.
Shows by their actions that they trust in the positive intentions of others.
Treats all people fairly and with respect.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Responds quickly to new information.
Is open to change and adjusts plans when needed.
Is aware of changes in the environment.
Learns from personal experiences and/or mistakes.
Effective in working with different personnel of the team.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Accurately perceives the emotional reactions of others.
Is able to control their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to express themselves clearly.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements disciplinary policy in accordance with the union contract
Exemplifies professionalism in the workplace.
Informs employees of what tasks need to be completed on each shift.
Is aware of the unique strengths of each employee.
Reviews performance against established measures.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Shown significant improvement in job performance.
Works effectively in the department.
...Produce Quality
Effective in performing his/her job.
Works well in this position.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages others to achieve high quality standards.
Holds employees accountable for their quality of work.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Encourages others to produce the highest quality work products.
Corrects issues in a timely manner.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Manages time effectively by focusing efforts on high value tasks.
Manages the workload effectively in order to stay on schedule.
Prioritizes new tasks according to their relative importance.
Achieves more through effective time management.
Stays focused on the job.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coordinates all department activities into a cohesive team effort.
Encourages commitment in others to obtain results.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Takes immediate action toward goals.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops strategies that are practical and can be feasibly implemented within a reasonable period of time.
Reinforces the strategic messaging in various teams, meetings, seminars and workshops.
Ensures that the department's goals are strategically aligned with the company's goals.
Supports changes being recommended from senior management.
Creates measures of performance and profitability to assess financial objectives.

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: