Commitment to Result - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. 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 our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment 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 and . 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.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Able to focus on a task even when working alone.
Coordinates all department activities into a cohesive team effort.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is flexible and open minded in dealing with others.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Works effectively in dynamic and changing work environments.
Flexible and open to new ideas and encourages others to value change.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to manage their own emotions.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Able to understand others' points of view.
Is able to control their own emotions.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains good working relationships with employees.
Provides constructive, ongoing feedback.
Treats all staff equitably.
Delegates effectively.
Encourages employees to achieve their full potential.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies the root cause of a problem.
Asks the "right" questions to size up or evaluate situations.
Actively seeks constructive feedback from others.
Analyzes data and information from several sources and arrives at logical conclusions.
Uses appropriate techniques to solve problems.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Solves problems using logic and insight.
Able to balance the needs of different people in a solution to a problem.
Identifies and assesses all potential responses to a problem.
Works cooperatively with others to solve problems.
Is a good problem solver and decision maker
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works cooperatively with others to implement changes.
Supports new initiatives for organizational changes to improve effectiveness.
Supports the Company's efforts to implement changes.
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
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
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.
Knows how to produce high quality products/work.
Seeks information from others as needed.
Willingly shares information and expertise; sought out as resource by others
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements long-term solutions to problems.
Analyzes records and reports to obtain insight into potential issues and trends.
Maintains knowledge of current trends in the industry.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes plans and follows through.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Anticipates obstacles and ways to overcome them.
Delegates role to team members to accomplish goals.
Able to identify the needs of the department before a major change.

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: