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
Makes sure employees understand why they were given certain assignments.
Adjusts communication methods to the needs of the audience.
Avoids stating unclear or conflicting goals.
Provides a clear vision for the future.
Maintains clarity in goals and objectives.
Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Inspires creativity in their team.
Develops solutions to challenging problems.
Is creative and inspirational.
Adds value to the department/organization.
Creates a lot of new ideas.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
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 interpersonal problems instead of reacting to them.
Does not allow own emotions to interfere with the performance of others.
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
Demonstrates through personal behavior the commitment to high standards of performance.
Enhances value to the company through additional training and development.
Enjoys learning new skills and techniques.
Demonstrates a willingness to participate in continuing education courses.
Embraces new technology and procedures.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of differences in how individuals from other cultures greet one another.
Understands the impact that our culture may have on interactions between individuals.
Actively listens to other employees' stories about their culture.
Supports and mentors others that may have different cultural backgrounds.
Participates in cultural training sessions/classes.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Interacts with stakeholders regarding the outcomes required by the project.
Works with both internal and external individuals to facilitate the project.
Conducts a risk assessment for each phase of the project.
Inspires the project implementation team to achieve success.
Uses scheduling software to create and monitor the timeline.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works well in this position.
...Produce Quality
Effectively organizes resources and plans
Has great overall performance
...Overall Performance
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prioritizes high value tasks at work.
Excellent at keeping track of time.
Takes the initiative to tackle critical issues earlier rather than later.
Deals effectively with interruptions.
Remains dedicated to completing high priority work.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Clearly understands the interests and choices of both parties.
Listens to all sides without bias and makes fair decisions.
Understands the motivations of the other party.
Stays composed and counters aggressive negotiation tactics by reframing unreasonable proposals or actions.
Able to distinguish and navigate between different negotiation strategies and styles.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Formulates policies and strategies for addressing the Company's important challenges.
Creates strategies that significantly benefit the Company.
Converses with customers and clients to get a better insight into their personal needs.
Strategically aligns projects to the goals of the company.

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: