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
Attends [Company] gatherings and social events.
Impresses upon others the important aspects of [Company].
Understands the use of [Company] products and services.
Understands how decisions impact other business units beyond their immediate department of work group.
Expresses loyalty and dedication to [Company] in interactions with others.
Business Acumen	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Gathers important information from customers to make sure our products are relevant and useful.
Is up-to-date with regulatory guidelines and policies.
Describes and summarizes data.
Seeks to better understand other areas of the company, including their operations, personnel, and output.
Can effectively interpret and analyze data.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Tackles issues head on and finds solutions.
Handles sensitive information with discretion and confidentiality.
Always keeps the supervisor informed of relevant information.
Aware of the consequences for failure to complete the project.
Exhibits good governance in their role as an executive.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Identifies ways to simplify work processes and reduce cycle times
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Conveys a sense of urgency about addressing problems and opportunities
Encourages risk taking and experimentation to improve performance
Motivates others to achieve or exceed goals
Clarity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses appropriate grammar and tense in communications.
Attends to the important details of a job or task.
Makes sure employees understand why they were given certain assignments.
Avoids stating unclear or conflicting goals.
Is clear about goals that need to be achieved.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds long term relationships with customers.
Prioritizes customer issues to tackle the most pressing needs first.
Uses feedback from customers to help improve services.
Understands the needs of the customer.
Is above average in addressing the needs of the customers.
Partnering/Networking	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Promotes awareness of interests in partnerships and networks.
Strives to cultivate and maintain a partnership based on trust and commitment in relationships.
Establishes clear expectations at the start of a new partnership.
Utilizes contacts to build and strengthen internal support bases.
Forms collaborative relationships with others.

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: