Bias for Action - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. 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 our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment 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 and . 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
Seeks and utilizes opportunities for continuous learning and self-development.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Motivates others to achieve or exceed goals
Identifies ways to simplify work processes and reduce cycle times
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to adapt to new situations.
Encourages others to adopt new procedures.
Works effectively during periods of change.
Open to the perspectives/viewpoints of others.
Is open to alternative ways to accomplish goals
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Flexible and open to new ideas and encourages others to value change.
Learns from personal experiences and/or mistakes.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Recognizes and implements changes to enhance efficiency and effectiveness.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Has great overall performance
...Produce Quality
...Overall Performance
Sets a high standard for job performance.
Works effectively in the department.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ability to solve problems at root cause rather than at symptom level.
Solves problems using logic and insight.
Works cooperatively with others to solve problems.
Able to balance the needs of different people in a solution to a problem.
Identifies and assesses all potential responses to a problem.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Takes the initiative to change the direction or course of events.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Seeks and utilizes opportunities for continuous learning and self-development.
Goes above and beyond the stated goals.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides clear expectations for employees.
Directs team in prioritizing daily work activities
Explains the "whys" behind organizational objectives
Inspires and motivates co-workers to be productive and energetic at work
Does not become distracted by non-issues or interruptions.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Values the opinions of diverse groups and individual.
Fosters a diverse workforce free from discrimination and harassment.
Respects others regardless of age, race, gender, nationality, or disability.
Recognizes and values individual and cultural differences.
Encourages a work environment where individual differences are valued.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains infrastructure to support partnerships and networks.
Seeks to reduce institutional roadblocks to information sharing.
Creates the conditions for partnerships to grow and develop.
Builds alliances between departments and teams.
Forges mutually beneficial relationships between individuals with diverse backgrounds.

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: