Collaboration- 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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Collaboration	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Guides team members to reconcile their differences and collaborate effectively.
Has the confidence and trust of other partners.
Utilizes digital tools to enhance collaborative efforts in creating process and policy documents.
Encourages open dialog and sharing of information among team members.
Collaborates in time, effort, and expertise to help achieve success.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes relationships of trust, honesty, fairness, and integrity.
Does what was promised.
Fosters an environment built upon trust.
Accepts responsibility for mistakes.
Develops trust and confidence from others.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to understand others' points of view.
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is attentive to emotional cues and interprets others' feelings correctly.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is resilient and proactive to help thrive in unpredictable environments.
Adapts workflows according to changing needs.
Allows for flexibility in setting realistic performance goals.
Supports a flexible culture that values continuous improvement and innovation.
Recognizes and quickly adapts to shifts in the environment, market, or industry.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Displays high energy and enthusiasm on consistent basis.
Motivates others to achieve or exceed goals
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Conveys a sense of urgency about addressing problems and opportunities
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adopts changes to set and example for others to follow.
Supports new initiatives for organizational changes to improve effectiveness.
Is an inspiration for others to accept the recent changes.
Effective in dealing with ambiguous and challenging situations.
Develops plans for following through on the changes.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees to understand responsibilities, authority, and expectations.
Helps employees to maintain high personal standards.
Meets regularly with employees to coach them on areas that will enhance their performance
Conducts regular performance appraisals and feedback.
Develops the skills and capabilities of others.
Fiscal Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops budgets and plans for various programs and initiatives.
Monitors expenses and verifies the need for items purchased.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Provides budgeting and accounting support to the Company.
Effective in using Company's resources.

41. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




42. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
43. 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?
    
    
    
44. What changes do you see [Company] making in order to raise the standards?
    
    
    
45. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
46. What do you like best about working for [Company]?
    
    
    
47. 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: