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.

---

Collaboration	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Listens to the ideas and suggestions from others.
Displays a high degree of trust and credibility.
Has the confidence and trust of other partners.
Is open to unique and creative ideas from others.
Participates in collaborative/team decision-making.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Protects the integrity and confidentiality of information
Establishes relationships of trust, honesty, fairness, and integrity.
Demonstrates sincerity in actions with others.
Maintains strong relationships with others.
Demonstrates honesty and truthfulness at all times.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to understand others' points of view.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Flexibility	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies new opportunities to achieve goals
Adapts easily to incorporate various perspectives.
Embraces issues as opportunities to learn and grow.
Continuously learning and adapting new techniques to address evolving challenges.
Effective in incorporating new ideas.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Motivates others to achieve or exceed goals
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Completes work on time
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
Inspires others to accept changes.
Develops plans for following through on the changes.
Develops a strategy for implementing changes.
Is a leading force driving changes.
Works cooperatively with others to implement changes.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees to understand responsibilities, authority, and expectations.
Provides clear, motivating, and constructive feedback.
Conducts regular performance appraisals and feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Addresses employee behavior problems effectively.
Fiscal Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides budgeting and accounting support to the Company.
Effective in using Company's resources.
Develops of the department's annual budget.
Monitors spending.
Develops budgets and plans for various programs and initiatives.

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: