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
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Able to focus on a task even when working alone.
Takes immediate action toward goals.
Coordinates all department activities into a cohesive team effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Can take on new assignments.
Adapts to diversity within the team.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Adjusts tactics when things are not working as expected.
Adjusts to the new vision and mission of the company.
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.
Is able to express themselves clearly.
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively uses rewards to help motivate employees.
Provides direction and coaching to employees.
Delegates effectively.
Contributes to a productive work environment for the team.
Demonstrates exemplary work performance that others should follow.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Selects the appropriate techniques for analysis.
Identifies opportunities for progress and innovation.
Asks the "right" questions to size up or evaluate situations.
Analyzes issues and reduces them to their component parts.
Identifies the root cause of a problem.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements effective solutions to critical problems.
Actively seeks the root cause of a problem.
Generates alternative solutions to problems and challenges.
Identifies and assesses all potential responses to a problem.
Makes judgments based upon relevant information.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops plans for following through on the changes.
Develops a strategy for implementing changes.
Effective in dealing with ambiguous and challenging situations.
Able to get department employees to accept new changes.
Facilitates change with minimal resistance.
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 knowledgeable of procedures or systems necessary for the job.
Willingly shares information and 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
Identifies potential problems before they become critical incidents.
Analyzes records and reports to obtain insight into potential issues and trends.
Implements long-term solutions to problems.
Identifies root causes of problems.
Maintains knowledge of current trends in the industry.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands what materials will be required to successfully implement the plan.
Plans for how to allocate time to specific activities.
Able to identify the needs of the department before a major change.
Adjusts plans as needed according to situational/strategic changes.
Ensures staff are held accountable for following the department 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: