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
Promotes training and development opportunities to enhance job performance.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand current job responsibilities.
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 manage their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to control their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Able to understand others' points of view.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is clear about the expectations that employees will be held accountable for.
Recognizes when employees have completed major milestones.
Is diligent about properly documenting disciplinary actions.
Knows the best ways to communicate effectively with different types of employees.
Communicates equally well with all employees.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Has great overall performance
Effective in performing his/her job.
Sets a high standard for job performance.
...Produce Quality
Shown significant improvement in job performance.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Flexible and open to new ideas and encourages others to recognize the value of change.
Is aware of changes in the environment.
Adjusts plans to meet the needs of new constraints.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Promotes an environment that fosters quality and safety.
Reflects on what is working and what could be improved.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Encourages others to produce the highest quality work products.
Consistently provides timely, accurate, and reliable information on quality measures.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures timely completion of vital work.
Continues working on the most important tasks until they are completed.
Delegates simple tasks to employees so the manager can focus on more complex tasks.
Avoids distractions from personal phone or other personal devices.
Confronts significant problems directly to reduce their impact on the schedule.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Welcomes the responsibility for meeting the broad range of needs of stakeholders and clients.
Defines roles, rights, and responsibilities of the team.
Takes ownership of mistakes and learns from them.
Holds employees accountable for meeting performance benchmarks.
Develops goals and establishes objective measures of success.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains persistence and dedication to achieving results.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Takes immediate action toward goals.
Coordinates all department activities into a cohesive team effort.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Is open to receiving feedback.
Creates opportunities for professional development.
Tries to ensure employees are ready to move to the next level.
Recognizes and celebrates accomplishments of others.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Open to input from others into the plan for development of the strategic plan.
Accomplishes major tasks by breaking them into manageable pieces.
Determines the appropriate actions needed to achieve goals.
Develops a strategic plan to reduce costs in the department.
Is good at planning for the "unexpected".

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: