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.

---

Edit this Survey

Would you like to edit this survey? Click here to begin.

Attitude	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Speaks with civility and kindness, even under pressure or during disagreement.
Shows genuine interest in the well-being of colleagues, beyond work performance.
Appreciates the efforts of others.
Does not focus on or well on differences in rank or status.
Contributes to a positive work environment.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Successfully handles the implementation of the reorganization.
Adjusts tactics when things are not working as expected.
Adjusts plans to meet new situations.
Adjusts plans as needed based on changing conditions.
Demonstrates willingness to change to meet the needs of the current circumstances.
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.
Able to understand others' points of view.
Is able to manage their own emotions.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages good working relationships between employees.
Has a high degree of multi-cultural competence to supervise individuals of various cultural backgrounds.
Provides direction and coaching to employees.
Speaks to all employees involved to get a complete picture of the situation.
Fosters a culture of personal responsibility and accountability.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Has great overall performance
Works well in this position.
...Produce Quality
Effective in performing his/her job.
...Overall Performance
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Resolves quality issues sooner rather than later.
Sets benchmarks for quality improvements.
Verifies the correct materials were used in the installation.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Identifies strategies and their associated risks to improve quality.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Deals effectively with interruptions.
Remains dedicated to completing high priority work.
Accomplishes more despite limitations in time constraints.
Ensures timely completion of vital work.
Reviews outcomes against initial plans to inform future time allocations.
Commitment	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Engages others in decision-making, fostering commitment to how goals are achieved.
Celebrates collective achievements, reinforcing the commitment of shared success over individual recognition.
Celebrates milestones and achievements, reinforcing the importance of collective efforts toward commitments.
Promotes commitment and collaboration across teams, showing that achieving goals is a collective responsibility.
Engaged in decision-making, inspiring commitment to the process of achieving goals.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a vision for the organization based on how the organization should appear in the future.
Able to identify internal strengths and weaknesses and the opportunities and threats that impact the company.
Identifies bottlenecks in the production process and develops strategies to correct these issues.
Supports changes being recommended from senior management.
Sets strategic objectives to be achieved.

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: