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.

---

Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Displays high energy and enthusiasm on consistent basis.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Identifies ways to simplify work processes and reduce cycle times
Conveys a sense of urgency about addressing problems and opportunities
Completes work on time
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Capable of adapting workflows to accommodate new regulations or policies.
Innovates skills and modifies behaviors to remain flexible in addressing important issues.
Open to the perspectives/viewpoints of others.
Encourages others to adopt new procedures.
Is open to alternative ways to accomplish goals
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is open to new ideas and innovations.
Continually trying to improve skills to remain current.
Adjusts tactics when things are not working as expected.
Able to step in and help co-workers when needed.
Responds quickly to new information.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively organizes resources and plans
Able to organize work.
Listens and responds to issues and problems
Effective in performing his/her job.
Shown significant improvement in job performance.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ability to develop innovative solutions to problems.
Identifies and assesses all potential responses to a problem.
Works cooperatively with others to solve problems.
Generates alternative solutions to problems and challenges.
Finds creative ways to get things done with limited resources.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prepares for unexpected contingencies.
Volunteers time and effort toward the completion of important goals.
Immediately works to complete goals well before their deadline.
Does the right thing without being told.
Begins immediate action on projects.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adapts to disruptions in the supply chain to maintain production levels.
Sets the objectives for the team.
Motivated by a strong desire to exceed performance standards.
Completes work on time.
Keeps track of progress toward the results.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Hires individuals with different cultural backgrounds for the department.
Respects others regardless of age, race, gender, nationality, or disability.
Understands how their own cultural background can impact the way they communicate and interact with others.
Recognizes and values individual and cultural differences.
Is aware of differences in how individuals from other cultures greet one another.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds trust with colleagues at other companies to form partnerships to promote growth.
Promotes a culture of open collaboration, offering ample opportunities and incentives for knowledge sharing and mutual learning.
Develops key business contacts at other companies.
Regularly attends conferences and seminars to meet with others in the industry.
Engages in continuous dialogue through regular meetings or virtual meetups.

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: