Continual Improvement - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. 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 our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment 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 and . 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
Looks for ways to improve work processes and procedures.
Looks for ways to expand current job responsibilities.
Looks for ways to expand and learn new job skills.
Open to the suggestions from others.
Promotes training and development opportunities to enhance job performance.
Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Able to understand others' points of view.
Is able to control their own emotions.
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Supervisory Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Promotes teamwork and cooperation within the department.
Maintains good working relationships with employees.
Encourages employees to achieve their full potential.
Provides constructive, ongoing feedback.
Delegates effectively.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to organize work.
Effectively organizes resources and plans
Shown significant improvement in job performance.
Sets a high standard for job performance.
Works well in this position.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is flexible and open minded in dealing with others.
Able to quickly learn new ways of performing their job.
Works effectively in dynamic and changing work environments.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Is proactive and takes steps to prepare for changes in the workplace.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages others to produce the highest quality work products.
Reflects on what is working and what could be improved.
Always strives to produce the highest quality work products.
Encourages others to achieve high quality standards.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets clearly defined goals.
Deals effectively with interruptions.
Does not become flustered by deadlines and timelines.
Leaves time in the schedule for unplanned contingencies.
Avoids distractions in the workplace.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes responsibility for results.
Keeps supervisor informed of recent events.
Creates a consistent process for prioritizing work.
Is aware of problems or issues that may affect the organization.
Defines roles, rights, and responsibilities of employees.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Committed to the team.
Able to focus on a task even when working alone.
Takes immediate action toward goals.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports the successes of other employees.
Creates opportunities for professional development.
Recognizes and celebrates accomplishments of others.
Encourages employees through recognition of positive changes in behavior.
Assigns tasks and responsibilities to develop skills of others.
Planning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Works in an organized manner
Delegates role to team members to accomplish goals.
Makes plans and follows through.
Able to identify the needs of the department before a major change.

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: