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.
Open to the suggestions from others.
Looks for ways to expand current job responsibilities.
Looks for ways to expand and learn new job skills.
Looks for ways to improve work processes and procedures.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to control their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Facilitates conversations where each person can be heard.
Decides which team members are assigned to each job.
Demonstrates exemplary work performance that others should follow.
Determines appropriate staffing levels for the job.
Resolves disputes in a way that quickly reaches mutual agreement.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works well in this position.
Able to organize work.
Sets a high standard for job performance.
...Produce Quality
Effectively organizes resources and plans
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is proactive and takes steps to prepare for changes in the workplace.
Works effectively in dynamic and changing work environments.
Embraces change and fosters an open-minded environment.
Adjusts to new plans and procedures.
Is aware of changes to team personnel.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Always strives to produce the highest quality work products.
Holds employees accountable for their quality of work.
Reflects on what is working and what could be improved.
Corrects issues in a timely manner.
Encourages others to achieve high quality standards.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets a good balance between work and family life.
Uses a calendar effectively to keep track of when events or milestones are supposed to occur.
Completes tasks ahead of schedule.
Uses automation when possible to save time.
Stays focused on the most important tasks that need completed.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fully embraces the responsibilities that contribute to our departmental success.
Makes sure the supervisor is always informed of any important events.
Consistently strives to meet high standards of excellence.
Regularly completes tasks on time.
Can be counted on to do what they say they are going to do.
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.
Coordinates all department activities into a cohesive team effort.
Encourages commitment in others to obtain results.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Committed to the team.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports the successes of other employees.
Recognizes and celebrates accomplishments of others.
Is open to receiving feedback.
Tries to ensure employees are ready to move to the next level.
Creates a work environment that fosters positive feedback to employees.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Establishes and monitors timeframes and timelines.
Prioritizes tasks and allocates resources.
Plans for how to allocate time to specific activities.
Plans for future staffing needs.
Reduces uncertainty in the department through clear planning and schedules.

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: