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 work environment.
Works to eliminate unnecessary work or barriers that get in others' way.
Contributes to a positive and fun work environment.
Treats all people fairly and with respect.
Builds open and trusting relationships.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is flexible and open minded in dealing with others.
Able to quickly learn new ways of performing their job.
Learns from personal experiences and/or mistakes.
Recognizes and implements changes to enhance efficiency and effectiveness.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to control their own emotions.
Able to understand others' points of view.
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains good working relationships with employees.
Promotes teamwork and cooperation within the department.
Provides constructive, ongoing feedback.
Resolves personnel problems quickly and effectively.
Delegates effectively.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...Produce Quality
Able to organize work.
...Overall Performance
Works effectively in the department.
Has great 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.
Encourages others to achieve high quality standards.
Encourages others to produce the highest quality work products.
Holds employees accountable for their quality of work.
Encourages employees to produce the best quality products.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets clearly defined goals.
Does not become flustered by deadlines and timelines.
Leaves time in the schedule for unplanned contingencies.
Sets a good balance between work and family life.
Avoids distractions in the workplace.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes immediate action toward goals.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Maintains persistence and dedication to achieving results.
Committed to the team.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands & contributes to development of strategic goals.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Understands their role within the organization.
Looks for opportunities to enhance contributions to the bottom line.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.

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: