Continual Improvement - 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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Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Open to the suggestions from others.
Looks for ways to improve work processes and procedures.
Looks for ways to expand and learn new job skills.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to control their own emotions.
Is able to manage their own emotions.
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Others emulate this supervisor's enthusiasm for work.
Is a calming force during stressful periods.
Leads others through their commitment to the department.
Contributes to a productive work environment for the team.
Maintains good working relationships with employees.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...Overall Performance
Shown significant improvement in job performance.
Able to organize work.
Effective in performing his/her job.
...Produce Quality
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adapts quickly to new situations.
Adapts to diversity within the team.
Handles changes easily.
Handles unexpected events without a loss of productivity.
Works effectively with various personalities of team members.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyze what occurred and re-adjusts accordingly when goals are not met.
Corrects issues in a timely manner.
Always strives to produce the highest quality work products.
Encourages employees to produce the best quality products.
Encourages others to produce the highest quality work products.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Avoids distractions in the workplace.
Deals effectively with interruptions.
Does not become flustered by deadlines and timelines.
Does not procrastinate.
Leaves time in the schedule for unplanned contingencies.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a consistent process for prioritizing work.
Develops goals and establishes objective measures of success.
Takes ownership of mistakes and learns from them.
Defines roles, rights, and responsibilities of employees.
Keeps supervisor informed of recent events.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Willing to do whatever it takes-not afraid to have to put in extra effort.
Committed to the team.
Maintains persistence and dedication to achieving results.
Encourages commitment in others to obtain results.
Coordinates all department activities into a cohesive team effort.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets performance objectives for subordinates that encourages development opportunities.
Provides constructive feedback to others.
Creates opportunities for professional development.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Recognizes and celebrates accomplishments of others.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets the appropriate sequence of tasks to efficiently achieve the goal.
Able to identify the needs of the department before a major change.
Determines what supplies/equipment will be needed for the department.
Understands what equipment will be needed for the project.
Develops strategic plans for ensuring competitiveness in the marketplace.

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

    -Excellent -Good -Average -Poor




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


58. 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?
    
    
    


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


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


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


62. 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: