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
Takes immediate action toward goals.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Able to focus on a task even when working alone.
Committed to the team.
Encourages commitment in others to obtain results.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is open to changes in policies and procedures.
Is aware of changes in the environment.
Able to work effectively with new people and new teams.
Embraces change and fosters an open-minded environment.
Is open to new ideas and innovations.
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 control their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to express themselves clearly.
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
Encourages employees to take responsibility for mistakes.
Facilitates team members working well together.
Provides training on equipment as needed.
Resolves disputes in a way that quickly reaches mutual agreement.
Completes assessments in a timely manner.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates graphs, charts, and other visual representations of data making it easier to interpret and communicate findings.
Audits financial records to detect fraud or errors.
Increases understanding through the cautious application of logic and research.
Analyzes issues and reduces them to their component parts.
Implements data validation techniques and methods.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Stays positive and driven despite obstacles.
Works diligently until the problem is solved.
Able to solve problems with multiple criteria that need to be met.
Optimizes resource utilization, reducing waste and maximizing efficacy of the solutions implemented.
Create a timeline for completing the action steps including deadlines for each task and milestones to be achieved.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works cooperatively with others to implement changes.
Is an inspiration for others to accept the recent changes.
Supports new initiatives for organizational changes to improve effectiveness.
Effective in dealing with ambiguous and challenging situations.
Effective in implementing new organizational vision and values.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Willingly shares his/her technical expertise; sought out as resource by others
Demonstrates mastery of the technical competencies required in his/her work.
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.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a mission statement describing the purpose for the organization.
Pursues strategic alliances with valued partners.
Formulates policies and strategies for addressing the Company's important challenges.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Analyzes unique issues or problems impacting the Company.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prioritizes tasks and allocates resources.
Develops a detailed plan outlining tasks, resources, timelines, and deliverables.
Develops plans used to accomplish urgent or critical tasks.
Conducts regular assessments of the project status to ensure adherence to the set schedule.
Develops strategic plans for ensuring competitiveness in the marketplace.

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: