Company- 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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Company	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands how decisions impact other business units beyond their immediate department of work group.
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Understands the use of [Company] products and services.
Business Acumen	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Applies the knowledge of work processes to influence the achievement of business goals
Considers impact of actions on other areas of the organization.
Able to align resources to meet the business needs of the company.
Understands complex issues and problems.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Defines roles, rights, and responsibilities of the team.
Defines roles, rights, and responsibilities of employees.
Holds team accountable to meeting goals.
Accepts accountability for their actions and results.
Keeps supervisor informed of recent events.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conveys a sense of urgency about addressing problems and opportunities
Displays high energy and enthusiasm on consistent basis.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Identifies ways to simplify work processes and reduce cycle times
Motivates others to achieve or exceed goals
Clarity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Clarifies problems and their causes to help employees correct them.
Checks details thoroughly.
Attends to the important details of a job or task.
Communicates ideas and facts clearly and effectively in writing.
Avoids creating ambiguity or mixed messages.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...friendliness and courtesy
Considers customers point of view when making decisions.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Develops strong customer relationships.
Develops good rapport and trust with the customer.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Partners with peers to obtain influence within the Company.
Collaborates with others to accomplish goals and objectives.
Seeks to reduce institutional roadblocks to information sharing.
Seeks an understanding of diverse functions within the Company.
Maintains infrastructure to support partnerships and networks.

36. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




37. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


38. 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?
    
    
    


39. What changes do you see [Company] making in order to raise the standards?
    
    


40. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


41. What do you like best about working for [Company]?
    
    


42. 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: