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
Treats all people fairly and with respect.
Contributes to a positive and fun work environment.
Contributes to a positive work environment.
Works to eliminate unnecessary work or barriers that get in others' way.
Shows by their actions that they trust in the positive intentions of others.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to step in and help co-workers when needed.
Accommodates changes as needed.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Adjusts plans as needed based on changing conditions.
Responsive to the needs of others.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to express themselves clearly.
Is able to control their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Accurately perceives the emotional reactions of others.
Able to understand others' points of view.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Emphasizes constructive discipline strategies, prioritizing the development and feedback of employees over punitive measures.
Determines which team members are to be promoted to the next higher level.
Uses metrics and benchmarks established by the department.
Empowers employees to make their own decisions in the field.
Fosters a positive work environment in the department.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...Overall Performance
Listens and responds to issues and problems
Works well in this position.
Has great overall performance
Shown significant improvement in job performance.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Verifies the operators have the necessary equipment and supplies to ensure high quality.
Influences others to achieve high quality standards.
Adopts and implements best practices when it comes to quality procedures.
Establishes timeframes for achieving suitable quality levels.
Able to create quality initiatives to be implemented organization-wide.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Does not procrastinate.
Reacts promptly to inquiries from customers/clients.
Uses batch processing to accomplish many similar tasks simultaneously.
Uses agendas when chairing or facilitating meetings.
Achieves more through effective time management.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains persistence and dedication to achieving results.
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.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies and focuses resources on strategic growth opportunities.
Recognizes the need for strategically developing unique capabilities.
Able to identify internal strengths and weaknesses and the opportunities and threats that impact the company.
Identifies areas where return on investment can be improved.
Develops a strategic vision for the future.

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: