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.
Provides a clear vision for the future.
Clearly explains the vision and goals of the company.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Avoids creating ambiguity or mixed messages.
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.
Conceives, implements and evaluates ideas.
Is creative and inspirational.
Adds value to the department/organization.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes interpersonal problems instead of reacting to them.
Steps away from a situation to process appropriate response.
Consciously controls own negative emotions in order to keep team morale up.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Constantly enhances product knowledge through experimentation and play.
Takes initiative for own learning and development.
Is open to feedback from others.
Takes advantage of training opportunities when they arise.
Demonstrates a willingness to participate in continuing education courses.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to work with employees who have different cultural backgrounds.
Is curious and willing to ask questions about the cultural differences in the workplace.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Actively listens to other employees' stories about their culture.
Supports and mentors others that may have different cultural backgrounds.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works with customers and clients to assess their needs and define project parameters.
Organizes work and sets priorities as needed.
Maintains costs and expenses within budget limits.
Develops performance measures for various aspects of the project.
Develops action items, workplans, timelines, and criteria for projects.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets a high standard for job performance.
Has great overall performance
Works well in this position.
...Produce Quality
Able to organize work.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Focuses on tasks that have high priority.
Keeps and maintains a To-Do list.
Sets a good balance between work and family life.
Completes high-priority work within required timelines.
Uses agendas when chairing or facilitating meetings.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Stays calm and focuses on the core issues to be discussed.
Maintains good interpersonal relationships with representatives from the other party.
Able to say "no" when it is essential to maintaining quality and high standards.
Is flexible in responses.
Able to clearly express thoughts and concerns.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes records and reports to obtain insight into potential issues and trends.
Identifies root causes of problems.
Maintains knowledge of current trends in the industry.
Formulates policies and strategies for addressing the Company's important challenges.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.

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: