Commitment to Result - 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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Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains persistence and dedication to achieving results.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Takes immediate action toward goals.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Coordinates all department activities into a cohesive team effort.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in working with different personnel of the team.
Embraces change and fosters an open-minded environment.
Adapts quickly to new situations.
Adjusts priorities to the new Corporate mission.
Responds quickly to new information.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to control their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides detailed feedback to employees.
Makes sure employees complete the work on time.
Uses disciplinary measures with the intent to guide and improve behavior, rather than to seek retribution.
Encourages good working relationships between employees.
Has a strong work ethic that inspires others.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prioritizes various actions to be taken when solving a problem.
Implements data validation techniques and methods.
Analyzes issues and reduces them to their component parts.
Identifies the root cause of a problem.
Selects the appropriate techniques for analysis.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Finds creative ways to get things done with limited resources.
Able to balance the needs of different people in a solution to a problem.
Understands the root causes of problems.
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Ability to solve problems at root cause rather than at symptom level.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in dealing with ambiguous and challenging situations.
Inspires others to accept changes.
Inspires others to want to change.
Supports new initiatives for organizational changes to improve effectiveness.
Develops a strategy for implementing changes.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Knows how to produce high quality products/work.
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Willingly shares his/her technical expertise; sought out as resource by others
Demonstrates mastery of the technical competencies required in his/her work.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Strategically aligns projects to the goals of the company.
Identifies root causes of problems.
Maintains knowledge of current trends in the industry.
Attends industry conferences to gain further insight into how other companies deal with similar issues.
Identifies potential problems before they become critical incidents.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Determines the amount of materials/supplies needed for the project.
Develops proper plans to ensure seamless flow of materials through logistics.
Accomplishes major tasks by breaking them into manageable pieces.
Able to balance the needs of multiple stakeholders in developing the plan for the division.
Has developed an effective strategic plan.

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

    -Excellent -Good -Average -Poor




52. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
53. 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?
    
    
    
54. What changes do you see [Company] making in order to raise the standards?
    
    
    
55. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
56. What do you like best about working for [Company]?
    
    
    
57. 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: