Communication - 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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Communication Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Checks for understanding throughout conversations or group presentations/discussions
Is an effective communicator
An effective listener who is responsive to information needs.
Communications with department leadership
Able to deliver presentations.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops insights and applies innovative solutions to projects and problems.
Recognizes and implements changes to enhance efficiency and effectiveness.
Works effectively in dynamic and changing work environments.
Able to quickly learn new ways of performing their job.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes and values individual and cultural differences.
Shows respect in daily interactions
Encourages a work environment where individual differences are valued.
Values the opinions of diverse groups and individual.
Seeks out different viewpoints and benefits from different perspectives.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Acts decisively in implementing decisions.
Takes ownership and accountability for results
Able to influence others.
Gives direct, constructive, and actionable feedback.
Highly effective supervisor.
Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Defines the roles, responsibilities, required actions, and deadlines for team members.
Sets clear and reasonable expectations for others and follows through on their progress.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Tells subordinates what to do, not how to do it.
Allows subordinates to use their own methods and procedures.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes current procedures and identifies opportunities for improvement.
Challenges current procedures to develop other alternatives.
Suggests new ideas at meetings.
Offers constructive improvements to existing systems.
Implements best practices within the department.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Explains the "whys" behind organizational objectives
Stays focused on meeting the needs of customers.
Encourages a high-energy, fun work environment and coaches others on how to do the same
Works toward achievement of goals even when confronted with obstacles.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Safety	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Performs work safely.
Ensures compliance with safety regulations.
Ensures that all supervisors are aware of regulatory and compliance measures.
Encourages others to attend safety training.
Develops a sustainable safety culture.
Responsible	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets a good example
...takes personal responsibility for results.
Works in a way that makes others want to work with her/him.
Sets high personal standards of performance.
Acts as a resource without removing individual responsibility.
Regulatory/Compliance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Explains regulations and procedures to others as required.
Understands and adheres to internal and external regulations.
Follows all safety regulations and procedures.
Addresses issues quickly before they develop into major problems.

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: