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
Seeks to reduce ambiguity in messaging and documents.
Avoids stating unclear or conflicting goals.
Clearly explains responsibilities to individuals.
Writes clear job descriptions for positions in the organization.
Adjusts communication methods to the needs of the audience.
Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is creative and inspirational.
Inspires creativity in their team.
Develops solutions to challenging problems.
Is creative.
Conceives, implements and evaluates ideas.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Does not allow own emotions to interfere with the performance of others.
Uses patience and self-control in working with customers and associates.
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
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Enhances value to the company through additional training and development.
Exhibits willingness to upgrade skills through additional training and education.
Takes initiative for own learning and development.
Is open to feedback from others.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in working with individuals with a variety of cultural backgrounds.
Acknowledges their own biases in cultural interactions.
Avoids referring to stereotypes about others from different cultures.
Treats others with dignity and respect.
Willing to work with employees who have different cultural backgrounds.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies critical requirements for each phase of the project.
Locates the equipment and supplies needed for the project.
Understands the financial, strategic, resources, staffing, timeline and market risks that may impact the project.
Ensures work is completed to the appropriate standards.
Able to adjust project schedule as needed to accommodate unforeseen issues.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works well in this position.
Listens and responds to issues and problems
Able to organize work.
Effective in performing his/her job.
Works effectively in the department.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Usually works with a sense of urgency.
Accomplishes more despite limitations in time constraints.
Sets goals to complete specific parts of the project by certain times to keep on schedule.
Avoids distractions from personal phone or other personal devices.
Uses batch processing to accomplish many similar tasks simultaneously.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Combines the valid points from each source to form a comprehensive and balanced perspective.
Understands the current situation of both parties.
Able to distinguish and navigate between different negotiation strategies and styles.
Knows where to stand firm and where to compromise.
Creates a constructive atmosphere, building a positive relationship for cooperative negotiations.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Strategically aligns projects to the goals of the company.
Meets with customers to gain insight into their core needs and how best to serve them.
Develops a plan and strategy for each functional area within the mission statement.
Maintains knowledge of current trends in the industry.
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: