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.
Coordinates all department activities into a cohesive team effort.
Encourages commitment in others to obtain results.
Committed to the team.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Develops insights and applies innovative solutions to projects and problems.
Flexible and open to new ideas and encourages others to value change.
Is proactive and takes steps to prepare for changes in the workplace.
Works effectively in dynamic and changing work environments.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to manage their own emotions.
Is able to control their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
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
Promotes teamwork and cooperation within the department.
Encourages employees to achieve their full potential.
Appropriately recognizes and rewards employees.
Is aware of the unique strengths of each employee.
Resolves personnel problems quickly and effectively.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses appropriate techniques to solve problems.
Implements data validation techniques and methods.
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.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies and assesses all potential responses to a problem.
Ability to develop innovative solutions to problems.
Solves problems using logic and insight.
Ability to solve problems at root cause rather than at symptom level.
Effective in solving problems.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports the Company's efforts to implement changes.
Addresses organizational and departmental resistance to changes.
Effective in implementing new organizational vision and values.
Works cooperatively with others to implement changes.
Assists others in understanding changes to the organization.
Technical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks information from others as needed.
Is knowledgeable of procedures or systems necessary for the job.
Demonstrates mastery of the technical competencies required in his/her work.
Knows how to produce high quality products/work.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes unique issues or problems impacting the Company.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Formulates policies and strategies for addressing the Company's important challenges.
Implements long-term solutions to problems.
Identifies root causes of problems.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to identify the needs of the department before a major change.
Makes plans and follows through.
Delegates role to team members to accomplish goals.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Able to look ahead (beyond the present) when addressing the work/needs of the department.

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: