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
Attends to the important details of a job or task.
Clearly explains responsibilities to individuals.
Is clear about the roles and duties of team members.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Uses appropriate grammar and tense in communications.
Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adds value to the department/organization.
Is creative and inspirational.
Conceives, implements and evaluates ideas.
Inspires creativity in their team.
Is creative.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Steps away from a situation to process appropriate response.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Consciously controls own negative emotions in order to keep team morale up.
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
Demonstrates through personal behavior the commitment to high standards of performance.
Will participate in training classes even if offered outside of normal working hours.
Holds self and associates accountable for goal achievement.
Enhances value to the company through additional training and development.
Is committed to enhancing their own knowledge and skills.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Participates in cultural training sessions/classes.
Functions effectively within various cultural contexts.
Treats others with dignity and respect.
Is aware of differences in how individuals from other cultures greet one another.
Acknowledges their own biases in cultural interactions.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements project metrics to track progress.
Maintains costs and expenses within budget limits.
Assigns project roles to the team members.
Acquires and allocates internal and external resources needed for the project.
Keeps accurate records regarding the costs of various aspects of the project.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...Produce Quality
Has great overall performance
Sets a high standard for job performance.
Listens and responds to issues and problems
Works effectively in the department.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prioritizes high value tasks at work.
Gets more accomplished than others in the same amount of time.
Accurately captures time across various tasks.
Completes tasks ahead of schedule.
Ensures timely completion of vital work.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fully grasps both party's interests and options.
Combines the valid points from each source to form a comprehensive and balanced perspective.
Demonstrates confidence in own position and can influence the other party's perception of proposals being offered.
Aims for solutions that benefit both parties.
Collects information from various stakeholders, each with their own viewpoints, data, and interests.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements long-term solutions to problems.
Works with others to develop insights into the resources and actions required to produce desired results.
Analyzes records and reports to obtain insight into potential issues and trends.
Creates strategies that significantly benefit the Company.
Recognizes the needs of customers.

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: