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
Encourages collaboration with other departments.
Encourages working together to achieve shared goals.
Works to create innovative ideas from the collaboration with others.
Builds consensus among team members.
Builds consensus among partners.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Does what was promised.
Demonstrates sincerity in actions with others.
Develops trust and confidence from others.
Fosters a high standard of ethics and integrity.
Protects the integrity and confidentiality of information
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to express themselves clearly.
Is attentive to emotional cues and interprets others' feelings correctly.
Able to understand others' points of view.
Is able to manage their own emotions.
Is able to control their own emotions.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adapts to new organizational structures, policies, or procedures.
Able to adapt to new situations.
Works effectively during periods of change.
Effective in incorporating new ideas.
Open to the perspectives/viewpoints of others.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes work on time
Completes a large volume of work.
Motivates others to achieve or exceed goals
Encourages risk taking and experimentation to improve performance
Identifies ways to simplify work processes and reduce cycle times
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Inspires others to accept changes.
Effective in implementing new organizational vision and values.
Works cooperatively with others to implement changes.
Inspires others to want to change.
Is a leading force driving changes.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Addresses employee behavior problems effectively.
Provides clear, motivating, and constructive feedback.
Helps employees to maintain high personal standards.
Conducts regular performance appraisals and feedback.
Fiscal Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops of the department's annual budget.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors expenses and verifies the need for items purchased.
Develops budgets and plans for various programs and initiatives.
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: