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.

---

Edit this Survey

Would you like to edit this survey? Click here to begin.

Collaboration	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages team members to offer opinions and ideas.
Creates an environment where team members feel safe to express their ideas and concerns without fear of judgment.
Encourages collaboration with other departments.
Is comfortable working with employees from different departments/divisions.
Encourages collaboration of fellow employees to achieve results.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Follows tasks to completion.
Fosters an environment built upon trust.
Protects the integrity and confidentiality of information
Establishes relationships of trust, honesty, fairness, and integrity.
Maintains strong relationships with others.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to express themselves clearly.
Able to understand others' points of view.
Is able to control their own emotions.
Accurately perceives the emotional reactions of others.
Is attentive to emotional cues and interprets others' feelings correctly.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Can handle changes without complaining.
Adapts to different learning styles of employees as required to make sure employees receive the highest level of training.
Capable of adjusting to necessary modifications in the work environment.
Allows workflows to evolve with the employees' creativity.
Exhibits exceptional adaptability in responding to unexpected challenges.
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.
Conveys a sense of urgency about addressing problems and opportunities
Encourages risk taking and experimentation to improve performance
Displays high energy and enthusiasm on consistent basis.
Completes work on time
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Inspires others to want to change.
Assists others in understanding changes to the organization.
Works cooperatively with others to implement changes.
Inspires others to accept changes.
Supports new initiatives for organizational changes to improve effectiveness.
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.
Develops the skills and capabilities of others.
Meets regularly with employees to coach them on areas that will enhance their performance
Addresses employee behavior problems effectively.
Fiscal Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Monitors expenses and verifies the need for items purchased.
Monitors spending.
Develops budgets and plans for various programs and initiatives.
Keeps excellent records for financial transparency.
Develops of the department's annual budget.

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: