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.

---

Clarity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates ideas and facts clearly and effectively in writing.
Avoids creating ambiguity or mixed messages.
Clarifies problems and their causes to help employees correct them.
Avoids stating unclear or conflicting goals.
Attends to the important details of a job or task.
Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conceives, implements and evaluates ideas.
Creates a lot of new ideas.
Inspires creativity in their team.
Is creative and inspirational.
Develops solutions to challenging problems.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Does not allow own emotions to interfere with the performance of others.
Consciously controls own negative emotions in order to keep team morale up.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Analyzes interpersonal problems instead of reacting to them.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is motivated by the desire to be "the best".
Takes initiative for own learning and development.
Demonstrates through personal behavior the commitment to high standards of performance.
Actively seeks to learn by asking questions and listening to all store associates.
Holds self and associates accountable for goal achievement.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Respects others regardless of age, race, gender, nationality, or disability.
Shows respect in daily interactions
Fosters a diverse workforce free from discrimination and harassment.
Seeks out different viewpoints and benefits from different perspectives.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates potential problems and institutes controls and contingency plans to address them.
Defines project outcomes based on customer requirements.
Able to adjust project schedule as needed to accommodate unforeseen issues.
Works with customers and clients to assess their needs and define project parameters.
Regularly reviews project performance and goals.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in performing his/her job.
Effectively organizes resources and plans
...Produce Quality
...Overall Performance
Works well in this position.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes time for developing plans and schedules.
Sets clearly defined goals.
Prioritizes tasks to identify immediate and long-term objectives.
Deals effectively with interruptions.
Does not become flustered by deadlines and timelines.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Researches the needs of the other party to identify strengths and weaknesses of positions.
Able to influence others to accept certain positions.
Maintains good interpersonal relationships with representatives from the other party.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Leverages relationships with others to achieve goals.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements long-term solutions to problems.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Analyzes unique issues or problems impacting the Company.
Formulates policies and strategies for addressing the Company's important challenges.

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: