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 and fun work environment.
Contributes to a positive work environment.
Builds open and trusting relationships.
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
Adjusts priorities to changing business goals.
Is aware of changes in the environment.
Adjusts to the new vision and mission of the company.
Works effectively in dynamic and changing work environments.
Is proactive and takes steps to prepare for changes in the workplace.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to manage their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Able to understand others' points of view.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to control their own emotions.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to remain calm in tense situations.
Provides direction and coaching to employees.
Others emulate this supervisor's enthusiasm for work.
Follows the company standard procedures for allocating assignments.
Completes assessments in a timely manner.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively organizes resources and plans
Has great overall performance
Works well in this position.
Able to organize work.
Sets a high standard for job performance.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages others to achieve high quality standards.
Encourages others to produce the highest quality work products.
Encourages employees to produce the best quality products.
Corrects issues in a timely manner.
Reflects on what is working and what could be improved.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets a good balance between work and family life.
Prioritizes tasks to identify immediate and long-term objectives.
Leaves time in the schedule for unplanned contingencies.
Does not procrastinate.
Completes tasks ahead of schedule.
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.
Coordinates all department activities into a cohesive team effort.
Committed to the team.
Maintains persistence and dedication to achieving results.
Encourages commitment in others to obtain results.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Understands & contributes to development of strategic goals.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Understands their role within the organization.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.

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: