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
Works cooperatively with others to solve problems.
Encourages open communication to support a collaborative environment.
Views others as valued partners.
Works to create innovative ideas from the collaboration with others.
Encourages collaboration of fellow employees to achieve results.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fosters a high standard of ethics and integrity.
Accepts responsibility for mistakes.
Demonstrates honesty and truthfulness at all times.
Maintains strong relationships with others.
Follows tasks to completion.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Able to understand others' points of view.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is flexible in responding to customer needs.
Effectively manages changes in financial resources.
Able to make changes to their leadership style after receiving constructive feedback through the performance review.
Works effectively during periods of change.
Remains agile and responsive to address changing needs in a dynamic environment.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes a large volume of work.
Encourages risk taking and experimentation to improve performance
Displays high energy and enthusiasm on consistent basis.
Conveys a sense of urgency about addressing problems and opportunities
Completes work on time
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to get department employees to accept new changes.
Adopts changes to set and example for others to follow.
Develops plans for following through on the changes.
Develops a strategy for implementing changes.
Assists others in understanding changes to the organization.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conducts regular performance appraisals and feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Addresses employee behavior problems effectively.
Provides clear, motivating, and constructive feedback.
Meets regularly with employees to coach them on areas that will enhance their performance
Fiscal Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops budgets and plans for various programs and initiatives.
Develops of the department's annual budget.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors spending.
Provides budgeting and accounting support to the Company.

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: