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 with clarity and efficiency.
Attends to the important details of a job or task.
Avoids creating ambiguity or mixed messages.
Uses appropriate grammar and tense in communications.
Clearly explains responsibilities to individuals.
Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Invents novel approaches that challenge standard practices.
Supports idea development from spark to implementation.
Invites others to dream bigger and think differently.
Creates an environment that supports creativity and innovation.
Willing to break the boundaries and think outside the box to find creative solutions.
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.
Analyzes interpersonal problems instead of reacting to them.
Uses patience and self-control in working with customers and associates.
Does not allow own emotions to interfere with the performance of others.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Enjoys learning new skills and techniques.
Enhances value to the company through additional training and development.
Is open minded and curious about learning new skills.
Is open to feedback from others.
Stays up-to-date on emerging technologies.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks to reduce obstacles in communication that might arise from cultural differences.
Hires individuals with different cultural backgrounds for the department.
Encourages inclusive participation in culturally significant events and observances
Shows respect in daily interactions
Avoids referring to stereotypes about others from different cultures.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Presents clear and accurate status information to required constituents.
Accurately determines the number of staff needed for the project.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Creates a vision for execution of the project to ensure coordination across all teams.
Identifies the potential risks for each phase of the project.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...Produce Quality
Works well in this position.
...Overall Performance
Works effectively in the department.
Effective in performing his/her job.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prioritizes critical tasks for the beginning of the shift.
Uses routines and visual cues to stay centered on task priorities.
Accurately captures time across various tasks.
Excellent at keeping track of time.
Prioritizes major tasks over smaller ones.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fully grasps both party's interests and options.
Knows the current business/market environment.
Assesses the validity and relevance of each piece of information, considering the context and source.
Able to clearly express thoughts and concerns.
Influences others through rational argument and persuasion.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies emerging trends by monitoring shifts in employee behavior, customer feedback, and market dynamics.
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Converses with customers and clients to get a better insight into their personal needs.
Identifies potential problems before they become critical incidents.
Maintains knowledge of current trends in the industry.

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: