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.

---

Edit this Survey

Would you like to edit this survey? Click here to begin.

Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conveys a sense of urgency about addressing problems and opportunities
Encourages risk taking and experimentation to improve performance
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Displays high energy and enthusiasm on consistent basis.
Completes work on time
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports a culture that values flexibility, continuous improvement and innovation.
Ensures that each employee's unique learning style is accommodated, which maximizes the effectiveness of the training.
Implements changes as a result of having listened to employees
Recognizes and quickly adapts to shifts in the environment, market, or industry.
Demonstrates the ability to modify training methods and materials to suit visual, auditory, and kinesthetic learners, thereby enhancing overall comprehension and engagement.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Handles unexpected events without a loss of productivity.
Is open to change and adjusts plans when needed.
Able to adapt to changes in technology and processes.
Adjusts priorities to the new Corporate mission.
Adjusts to the new vision and mission of the company.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to organize work.
Sets a high standard for job performance.
Shown significant improvement in job performance.
Works effectively in the department.
Listens and responds to issues and problems
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assesses the size and impact of the problem to better understand where resources may be needed.
Gathers input from various team members helps to ensure that the problem is fully understood from all angles, reducing the risk of oversight.
Is able to isolate the main problem.
Uses charting tools to identify patterns in data.
Remains resilient and motivated when encountering challenges or setbacks.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Immediately works to complete goals well before their deadline.
Does things without being told.
Anticipates problems and initiates plans to address them.
Acts quickly to address any issues or problems.
Acts independently to solve pressing needs.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures the team understands the objective that needs to be completed.
Encourages a high-energy, fun work environment and coaches others on how to do the same
Sets challenging goals to be achieved.
Makes changes to the plans if it will result in increased output.
Sets objectives for the department.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Avoids referring to stereotypes about others from different cultures.
Helps other employees to become more culturally sensitive.
Understands how implicit biases can affect decisions, communication and productivity.
Supports and mentors others that may have different cultural backgrounds.
Communicates with others without the influence of racism.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops alliances with colleagues at other companies.
Synchronizes efforts, processes, and resources with partners to enhance strategic opportunities.
Works to combine the unique strengths of each partner to develop new products or services.
Strengthens the contacts with other departments.
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: