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.
Encourages commitment in others to obtain results.
Maintains persistence and dedication to achieving results.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adjusts priorities to the new Corporate mission.
Accommodates changes as needed.
Is aware of changes to team personnel.
Able to adjust to changes as needed.
Effective in working with different personnel of the team.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
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
Shows consistency between what they say and do.
Has a high degree of multi-cultural competence to supervise individuals of various cultural backgrounds.
Enhances teamwork through good supervision.
Is clear when assigning tasks to be completed.
Determines the training and development needs of employees and staff.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prioritizes various actions to be taken when solving a problem.
Analyzes issues and reduces them to their component parts.
Analyzes data and information from several sources and arrives at logical conclusions.
Uses appropriate techniques to solve problems.
Balances risks and costs with the rewards and probabilities of success when decisions.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Generates alternative solutions to problems and challenges.
Finds creative ways to get things done with limited resources.
Works cooperatively with others to solve problems.
Ability to develop innovative solutions to problems.
Implements effective solutions to critical problems.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to get team members to change their attitudes.
Effective in implementing new organizational vision and values.
Effective in dealing with ambiguous and challenging situations.
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
Is knowledgeable of procedures or systems necessary for the job.
Seeks information from others as needed.
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.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
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
Maintains knowledge of current trends in the industry.
Pursues strategic alliances with valued partners.
Meets with customers to gain insight into their core needs and how best to serve them.
Communicates with employees to find out their needs.
Attends industry conferences to gain further insight into how other companies deal with similar issues.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conducts regular assessments of the project status to ensure adherence to the set schedule.
Analyzes market trends to plan the best course of action.
Creates effective logistics plans to achieve high operational efficiency.
Establishes a course of action for self and others to accomplish specific goals.
Makes strategic and tactical decisions to guide the logistics process.

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: