Bias for Action - 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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Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes work on time
Displays high energy and enthusiasm on consistent basis.
Conveys a sense of urgency about addressing problems and opportunities
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Motivates others to achieve or exceed goals
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Incorporates new skills fluently.
Is flexible to manage uncertain changes in the financial landscape.
Is flexible in delivering training content to maximizes the benefits of training but also fosters an inclusive learning environment that can lead to greater team cohesion and productivity.
Is versatile and resilient.
Values and adjusts training to meet diverse learning preferences.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Continually trying to improve skills to remain current.
Is aware of changes in the environment.
Able to respond to incidents without stopping the workflow.
Adjusts tactics when things are not working as expected.
Learns from personal experiences and/or mistakes.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Listens and responds to issues and problems
Works effectively in the department.
Shown significant improvement in job performance.
...Overall Performance
Able to organize work.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the root causes of problems.
Ability to develop innovative solutions to problems.
Ability to solve problems at root cause rather than at symptom level.
Finds creative ways to get things done with limited resources.
Actively seeks the root cause of a problem.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Initiates new projects for the department.
Helps the department take the initiative to create new solutions.
Cleans the workspace without being told.
Confronts problems immediately without supervisor instructions.
Takes on extra projects after required work is completed.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes benchmarks to be met when working on projects.
Helps others when free-time is available.
Prioritizes goals to complete those in urgent need first.
Quickly analyzes the situation to determine the most pressing needs.
Responds to changing events to maintain progress toward achieving results.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports and mentors others that may have different cultural backgrounds.
Communicates with others without the influence of racism.
Understands how their own cultural background can impact the way they communicate and interact with others.
Actively listens to other employees' stories about their culture.
Open to learning about different cultures.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Leverages core competencies of partners to the benefit of both parties.
Utilizes contacts to build and strengthen internal support bases.
Implements effective oversight of network activities.
Aligns efforts, processes, and resources with partners to maximize strategic opportunities.
Able to highlight both the strategic benefits and potential pitfalls in collaboration.

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: