Clarity - 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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Clarity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates ideas and facts clearly and effectively in writing.
Seeks to reduce ambiguity in messaging and documents.
Attends to the important details of a job or task.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Clearly defines work objectives for employees.
Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Inspires creativity in their team.
Creates a lot of new ideas.
Develops solutions to challenging problems.
Adds value to the department/organization.
Is creative and inspirational.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Does not allow own emotions to interfere with the performance of others.
Consciously controls own negative emotions in order to keep team morale up.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Steps away from a situation to process appropriate response.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is committed to enhancing their own knowledge and skills.
Enjoys learning new skills and techniques.
Takes initiative for own learning and development.
Will participate in training classes even if offered outside of normal working hours.
Enhances value to the company through additional training and development.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Actively listens to other employees' stories about their culture.
Effective in working with individuals with a variety of cultural backgrounds.
Supports and mentors others that may have different cultural backgrounds.
Is aware of differences in how individuals from other cultures greet one another.
Is sensitive to the similarities and differences that exist between cultures.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops a plan for resource management.
Determines the project strategy for implementation.
Schedules project phases and tasks to facilitate successful completion of the project.
Identifies potential risks to completing the project on time.
Creates the implementation strategy for the project.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in performing his/her job.
Able to organize work.
Works effectively in the department.
Listens and responds to issues and problems
Sets a high standard for job performance.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Emphasizes punctuality in the department and makes sure employees know they are expected to be on time.
Achieves more through effective time management.
Confronts significant problems directly to reduce their impact on the schedule.
Completes tasks ahead of schedule.
Able to get the important jobs done on time.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates emotional stability to facilitate productive problem-solving and relationship building.
Maintains communication channels between parties in the negotiation.
Adapts strategies to better meet the needs of the moment.
Is aware of potential emotional triggers that could negatively impact the negotiations.
Understands the motivations of the other party.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a mission statement describing the purpose for the organization.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Ensures that the department's goals are strategically aligned with the company's goals.
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Identifies potential problems before they become critical incidents.

51. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




52. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
53. 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?
    
    
    
54. What changes do you see [Company] making in order to raise the standards?
    
    
    
55. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
56. What do you like best about working for [Company]?
    
    
    
57. 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: